Mark Andy Edouard, | |
1401 Matthews Township Pkwy Ste 200, Matthews, NC 28105-5403 | |
(704) 384-6901 | |
(704) 384-6902 |
Full Name | Mark Andy Edouard |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1401 Matthews Township Pkwy Ste 200, Matthews, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891228953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 2022-00258 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
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Mark Andy Edouard, Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Mark Andy Edouard, 1401 Matthews Township Pkwy Ste 200, Matthews, NC 28105-5403 Ph: (704) 384-6901 |
Vidyasagargoud Marupakula, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Healing Way, Matthews, NC 28104 Phone: 980-993-2240 | |
Zelalem Atakilt Gebreananya, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-384-9740 Fax: 704-384-9565 | |
Nusrat Ahmad Chaudhary, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-841-8151 | |
Dr. Henry D Cremisi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-384-5416 Fax: 704-384-5992 | |
Dr. Kevin M. Rudisel, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-384-5420 Fax: 704-384-5424 | |
Dr. Abdul Karim Garuba, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9705 Northeast Pkwy Ste 400, Matthews, NC 28105 Phone: 704-844-8971 Fax: 704-844-8972 | |
Dr. Keithe Saclayan Shensky, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Matthews Township Pkwy, Matthews, NC 28105 Phone: 704-841-8151 Fax: 704-841-9228 |