Provider Demographics
NPI:1457823718
Name:AMERIHEALTH CONSULTANT PLLC
Entity Type:Organization
Organization Name:AMERIHEALTH CONSULTANT PLLC
Other - Org Name:AMERIHEALTH CONSULTANT PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMEERUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-202-2719
Mailing Address - Street 1:1014 SPARROW DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3910
Mailing Address - Country:US
Mailing Address - Phone:908-202-2719
Mailing Address - Fax:
Practice Address - Street 1:255 W LEBANON # 224
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-3411
Practice Address - Country:US
Practice Address - Phone:214-551-7407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-27
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX298126ZN1KOtherMEDICARE
TX8FJ036OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX332769403Medicaid