First Choice Medical Care Pllc | |
1950 Cook St Ste D Dyersburg TN 38024 | |
(731) 285-7999 | |
(731) 285-6917 |
Full Name | First Choice Medical Care Pllc |
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Speciality | Internal Medicine |
Location | 1950 Cook St, Dyersburg, Tennessee |
Authorized Official Name and Position | Tanveer Aslam (CO-OWNER/PRESIDENT) |
Authorized Official Contact | 7312857999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
First Choice Medical Care Pllc 1950 Cook St Ste D Dyersburg TN 38024 Ph: (731) 285-7999 | First Choice Medical Care Pllc 1950 Cook St Ste D Dyersburg TN 38024 Ph: (731) 285-7999 |
NPI Number | 1184625634 |
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Provider Enumeration Date | 08/09/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6901838242 |
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Medicare Enrollment ID | O20050907000700 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184625634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34718 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 30495 (Tennessee) | Primary |
Provider Name | Mohammad Yousuf |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881634103 PECOS PAC ID: 1951339118 Enrollment ID: I20050728001147 |
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