| Coast Pcp, Pllc | |
|
1120 Beach Blvd Biloxi MS 39530-3631 | |
| (228) 342-6278 | |
| (228) 202-7871 |
| Full Name | Coast Pcp, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1120 Beach Blvd, Biloxi, Mississippi |
| Authorized Official Name and Position | Azad Alamgir Kabir (OWNER/MEMBER) |
| Authorized Official Contact | 2282027872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Pcp, Pllc 1120 Beach Blvd Biloxi MS 39530-3631 Ph: (228) 202-7872 | Coast Pcp, Pllc 1120 Beach Blvd Biloxi MS 39530-3631 Ph: (228) 342-6278 |
| NPI Number | 1427473917 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 9638491798 |
|---|---|
| Medicare Enrollment ID | O20141201002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427473917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Inez M Kelleher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588725519 PECOS PAC ID: 6608894811 Enrollment ID: I20051107000390 |
| Provider Name | Azad A Kabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285845933 PECOS PAC ID: 9931233681 Enrollment ID: I20130419000386 |
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