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Iki Adachi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6621 Fannin St Fl 20, Houston, TX 77030-2358

PECOS Enrollment

Based on the most recent information from CMS, provider Iki Adachi 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
1497062681
Provider Type
Individual
Full Name
Adachi, Iki
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/9/2010
Last Updated
10/19/2022

Contact Information

Practice Location

6621 Fannin St Fl 20, Houston, TX 77030-2358

(832) 824-1000

Unlisted Fax

Mailing Location

6621 Fannin St Fl 20, Houston, TX 77030-2358

(832) 824-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License R0983 Texas
Code 207RC0000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 42954 Texas
Code 2086S0129X	Description Surgery Allopathic & Osteopathic Physicians	License 42954 Texas
Code 208G00000X	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License 42954 Texas

Iki Adachi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

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License

Code

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License

Mehran, Reza J.

Patel, Manish Kanubhai

Groth, Shawn Spencer

Park, Han Ki

Wald, Ori

Chen, Peter Chang

Hickey, Edward

Rascoe, Philip A

Eisenberg, Steven B.

Kalra, Rajat