Aileen Gayoso, Md, Pllc | |
8756 Gumleaf Cv Germantown TN 38138-7358 | |
(901) 569-0519 | |
Not Available |
Full Name | Aileen Gayoso, Md, Pllc |
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Speciality | Internal Medicine |
Location | 8756 Gumleaf Cv, Germantown, Tennessee |
Authorized Official Name and Position | Aileen Gayoso (PRESIDENT) |
Authorized Official Contact | 9015690519 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aileen Gayoso, Md, Pllc Po Box 1000 Dept 311 Memphis TN 38148-0001 Ph: (901) 569-0519 | Aileen Gayoso, Md, Pllc 8756 Gumleaf Cv Germantown TN 38138-7358 Ph: (901) 569-0519 |
NPI Number | 1871631275 |
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Provider Enumeration Date | 02/01/2007 |
Last Update Date | 04/17/2023 |
Medicare PECOS PAC ID | 5092609099 |
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Medicare Enrollment ID | O20090429000703 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871631275 | NPI | - | NPPES |
110001590 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 15680 (Mississippi) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Aileen S Garcia-gayoso |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891757761 PECOS PAC ID: 1254225253 Enrollment ID: I20050503000928 |
Provider Name | Hieu Vo |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1689807455 PECOS PAC ID: 0941457360 Enrollment ID: I20120820001015 |
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