Provider Demographics
NPI:1679853881
Name:AMERIHEALTH GROUP INC
Entity type:Organization
Organization Name:AMERIHEALTH GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MANSOOR
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:KAZI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP -C
Authorized Official - Phone:972-900-0207
Mailing Address - Street 1:5068 W PLANO PKWY STE 295
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4473
Mailing Address - Country:US
Mailing Address - Phone:972-499-4757
Mailing Address - Fax:469-965-9727
Practice Address - Street 1:5068 W PLANO PKWY STE 295
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4473
Practice Address - Country:US
Practice Address - Phone:972-499-4757
Practice Address - Fax:469-965-9727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-18
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based