Look up the most recent NPI and PECOS records

Abhizith Deoker

Internal Medicine

Allopathic & Osteopathic Physicians

4801 Alberta Ave, El Paso, TX 79905-2707

PECOS Enrollment

Based on the most recent information from CMS, provider Abhizith Deoker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1447481395
Provider Type
Individual
Full Name
Deoker, Abhizith
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/27/2009
Last Updated
9/13/2019

Contact Information

Practice Location

4801 Alberta Ave, El Paso, TX 79905-2707

(915) 215-5200

(915) 215-8640

Mailing Location

1420 Stephenson Hwy, Suite 400-Credentialing, Troy, MI 48083-1189

(313) 745-7999

(313) 966-6400

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R0851 Texas
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 4301093739 Michigan

Abhizith Deoker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Eysha, Mostafa Mohamed M I

Gonzalez, Jaime

Duggal, Shivangini

Martin, Luis Alberto

Trien, Remi Hoang

See, Gladina Macario

Aparece, John Paul Balbuena

Lehker, Angelica N

Perez, Leida Pastora

Delgado, Deyanira