| Prospero Health Partners, P.c. | |
|
40 S Main St Ste 1300 Memphis TN 38103-5513 | |
| (901) 422-7610 | |
| Not Available |
| Full Name | Prospero Health Partners, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 S Main St Ste 1300, Memphis, Tennessee |
| Authorized Official Name and Position | Christopher Dennis (PRESIDENT) |
| Authorized Official Contact | 6572372450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospero Health Partners, P.c. 50 S B B King Blvd Memphis TN 38103-2626 Ph: (901) 422-7644 | Prospero Health Partners, P.c. 40 S Main St Ste 1300 Memphis TN 38103-5513 Ph: (901) 422-7610 |
| NPI Number | 1376187849 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 9830525617 |
|---|---|
| Medicare Enrollment ID | O20210330001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376187849 | NPI | - | NPPES |
| Provider Name | Afshin Y Doust |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417057316 PECOS PAC ID: 6901866532 Enrollment ID: I20041018000502 |
| Provider Name | Patricia Pollina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912210949 PECOS PAC ID: 0941497911 Enrollment ID: I20101203000526 |
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