Ali Jahan-Tigh MD PA
Organization Active NPI Family Medicine Physician · Baytown, TX
NPI 1891944252 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1891944252
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- J5356 (TX)
- Legal business name
- ALI JAHAN-TIGH MD PA
- Practice address
- 4310 Garth Rd
Baytown, TX 77521-3114 - Phone
- (281) 425-6965
- Fax
- (832) 556-2925
- NPI assigned
- Sep 10, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Geoffrey Ali Jahan-Tigh, MD
- Title
- President
- Phone
- (281) 425-6965
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110422000205 | TX | Part B Supplier - Clinic/Group Practice | 3678758372 |
Receives reassigned benefits from 1 practitioner Practice locations: Baytown, TX |
National Provider Directory
Locations
4310 Garth Rd
Baytown, TX 77521
Phone (281) 425-6965
2802 Garth Rd
Ste 313
Baytown, TX 77521
Phone (281) 425-6965
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | J5356 | TX | Yes |
Addresses
Primary practice location
4310 Garth Rd
Baytown, TX 77521-3114
Mailing address
PO Box 1668
Baytown, TX 77522-1668
Phone (281) 425-6965
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164544227 | Other | NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM NPPES |
Other providers in Baytown, TX
- Alemint Health LLC
- Kristen Alexander
- Jillian Alflen
- Marlen Alford
- Nader Abdullah H Alhuzali
- Kinza Ali
- Shahina Q Ali
- Shaista Ali
- Alissa Medical Group PLLC
- Mohammad Allamarvdasht
All providers in Baytown, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.