| Em Oliver Inc | |
|
1607 E Us Highway 136 Albany MO 64402-8223 | |
| (660) 726-3974 | |
| (660) 726-3851 |
| Full Name | Em Oliver Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1607 E Us Highway 136, Albany, Missouri |
| Authorized Official Name and Position | Nazer Oliver Soghrati (PRESIDENT) |
| Authorized Official Contact | 8169146100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Em Oliver Inc 1607 E Us Highway 136 Albany MO 64402-8223 Ph: (660) 726-3974 | Em Oliver Inc 1607 E Us Highway 136 Albany MO 64402-8223 Ph: (660) 726-3974 |
| NPI Number | 1427201037 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Medicare PECOS PAC ID | 1850455395 |
|---|---|
| Medicare Enrollment ID | O20090129000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427201037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Naser Oliver Soghrati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063450518 PECOS PAC ID: 3577558444 Enrollment ID: I20090129000050 |
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