Faiza Memon, Md Pllc | |
5123 Virginia Way Ste C11 Brentwood TN 37027-7557 | |
(615) 373-5205 | |
(615) 373-5165 |
Full Name | Faiza Memon, Md Pllc |
---|---|
Speciality | Clinic/Center |
Location | 5123 Virginia Way Ste C11, Brentwood, Tennessee |
Authorized Official Name and Position | Faiza Memon (OWNER) |
Authorized Official Contact | 6153735205 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Faiza Memon, Md Pllc 5123 Virginia Way Ste C11 Brentwood TN 37027-7557 Ph: (615) 373-5205 | Faiza Memon, Md Pllc 5123 Virginia Way Ste C11 Brentwood TN 37027-7557 Ph: (615) 373-5205 |
NPI Number | 1306561238 |
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Provider Enumeration Date | 10/04/2022 |
Last Update Date | 10/04/2022 |
Certification Date | 10/04/2022 |
Medicare PECOS PAC ID | 0749659332 |
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Medicare Enrollment ID | O20221202001116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306561238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Faiza B Memon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497820146 PECOS PAC ID: 9133158413 Enrollment ID: I20050808000123 |
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