| Concord Infectious Disease Associates, Pc | |
|
1419 W Baddour Pkwy Lebanon TN 37087-2513 | |
| (615) 420-5390 | |
| (615) 549-1532 |
| Full Name | Concord Infectious Disease Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1419 W Baddour Pkwy, Lebanon, Tennessee |
| Authorized Official Name and Position | Haroon N Khan (PRESIDENT) |
| Authorized Official Contact | 6154205390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Infectious Disease Associates, Pc Po Box 1906 Mount Juliet TN 37121-1906 Ph: (615) 420-5390 | Concord Infectious Disease Associates, Pc 1419 W Baddour Pkwy Lebanon TN 37087-2513 Ph: (615) 420-5390 |
| NPI Number | 1083941512 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 06/23/2016 |
| Medicare PECOS PAC ID | 8820133986 |
|---|---|
| Medicare Enrollment ID | O20100302000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083941512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 41277 (Tennessee) | Primary |
| Provider Name | Haroon N Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730114315 PECOS PAC ID: 9931103173 Enrollment ID: I20061010000383 |
| Provider Name | Wardah Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063937670 PECOS PAC ID: 8022376334 Enrollment ID: I20171214001034 |
| Provider Name | Kaitlin Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205444668 PECOS PAC ID: 5698192474 Enrollment ID: I20200825000994 |
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