Dr Ifeanyi Obi Obianyo, MD | |
353 New Shackle Island Rd, Suite 206 A, Hendersonville, TN 37075-2379 | |
(615) 264-4743 | |
(615) 264-4589 |
Full Name | Dr Ifeanyi Obi Obianyo |
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Gender | Male |
Speciality | Internal Medicine |
Location | 353 New Shackle Island Rd, Hendersonville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235171596 | NPI | - | NPPES |
3071527 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MC18601 (Tennessee) | Primary |
Entity Name | Emergency Medicine Services Of Tn, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
Mailing Address | Practice Location Address |
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Dr Ifeanyi Obi Obianyo, MD 353 New Shackle Island Rd, Suite 206 A, Hendersonville, TN 37075-2379 Ph: (615) 264-4743 | Dr Ifeanyi Obi Obianyo, MD 353 New Shackle Island Rd, Suite 206 A, Hendersonville, TN 37075-2379 Ph: (615) 264-4743 |
Dr. Disha Awasthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Wessington Pl, Hendersonville, TN 37075 Phone: 615-822-2214 Fax: 615-822-6519 | |
Mosunmola Adebowale Ademosu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075 Phone: 615-338-1000 | |
Hailu T Kabtimer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 W Main St M3, Hendersonville, TN 37075 Phone: 615-826-2102 Fax: 615-826-2743 | |
Mr. Scott Alan Hande, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Glen Oak Blvd, Suite 202, Hendersonville, TN 37075 Phone: 615-826-0710 Fax: 615-826-0910 | |
Jung H. Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 New Shackle Island Rd, #300c, Hendersonville, TN 37075 Phone: 615-338-3337 Fax: 615-338-3329 | |
Dr. Marshall R Johnson Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 New Shackle Island Rd, Hendersonville, TN 37075 Phone: 615-338-1000 Fax: 615-338-1101 | |
Paul S Daugherty, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 107 Imperial Blvd, Suite 5, Hendersonville, TN 37075 Phone: 615-826-3111 Fax: 615-826-3112 |