E Michael Agapos, Md, Pc | |
3960 New Covington Pike Memphis TN 38128-2504 | |
(901) 761-4131 | |
(901) 761-4145 |
Full Name | E Michael Agapos, Md, Pc |
---|---|
Speciality | Internal Medicine |
Location | 3960 New Covington Pike, Memphis, Tennessee |
Authorized Official Name and Position | Emmanuel Michael Agapos (PHYSICIAN) |
Authorized Official Contact | 9017572345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
E Michael Agapos, Md, Pc Po Box 231 Memphis TN 38101-0231 Ph: (901) 757-2345 | E Michael Agapos, Md, Pc 3960 New Covington Pike Memphis TN 38128-2504 Ph: (901) 761-4131 |
NPI Number | 1245275163 |
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Provider Enumeration Date | 06/17/2006 |
Last Update Date | 04/22/2019 |
Medicare PECOS PAC ID | 4486550282 |
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Medicare Enrollment ID | O20031211000595 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245275163 | NPI | - | NPPES |
Q013104 | Medicaid | TN | |
4069219 | Other | TN | BC/BS PROV ID |
00123392 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 26642 (Tennessee) | Primary |
Provider Name | Emmanuel M Agapos |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1245298132 PECOS PAC ID: 0648176446 Enrollment ID: I20051107000244 |
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