Diligent Medical Care, Pllc | |
4038 Gap Rd Suite 101 Knoxville TN 37912-5903 | |
(865) 689-5757 | |
(865) 689-5755 |
Full Name | Diligent Medical Care, Pllc |
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Speciality | Clinic/Center |
Location | 4038 Gap Rd, Knoxville, Tennessee |
Authorized Official Name and Position | Essam M Aghel (PRESIDENT) |
Authorized Official Contact | 8656895757 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diligent Medical Care, Pllc 4038 Gap Rd Suite 101 Knoxville TN 37912-5903 Ph: (865) 689-5757 | Diligent Medical Care, Pllc 4038 Gap Rd Suite 101 Knoxville TN 37912-5903 Ph: (865) 689-5757 |
NPI Number | 1972976256 |
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Provider Enumeration Date | 11/09/2015 |
Last Update Date | 02/22/2016 |
Medicare PECOS PAC ID | 7315247103 |
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Medicare Enrollment ID | O20151201000726 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972976256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 40298 (Tennessee) | Primary |
Provider Name | Essam M. Aghel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184651481 PECOS PAC ID: 6608857693 Enrollment ID: I20071207000479 |
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