| Az Health Services Llc | |
|
Jane Todd Crawford Hospital 202 Milby Street Greensburg KY 42743 | |
| (270) 932-4211 | |
| (270) 932-2160 |
| Full Name | Az Health Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Jane Todd Crawford Hospital, Greensburg, Kentucky |
| Authorized Official Name and Position | Adil M Mohiuddin (OWNER) |
| Authorized Official Contact | 2245784016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Health Services Llc 1312 Moultrie Ct Lexington KY 40513-1942 Ph: (224) 578-4016 | Az Health Services Llc Jane Todd Crawford Hospital 202 Milby Street Greensburg KY 42743 Ph: (270) 932-4211 |
| NPI Number | 1376026328 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 3072852367 |
|---|---|
| Medicare Enrollment ID | O20190304002771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376026328 | NPI | - | NPPES |
| 7100029970 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adil M Mohiuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073065983 PECOS PAC ID: 7012273139 Enrollment ID: I20171106002778 |
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