Geriatrics & Palliative Care Pllc | |
943 Whitney Ave Memphis TN 38127-7734 | |
(901) 358-0326 | |
(901) 358-9010 |
Full Name | Geriatrics & Palliative Care Pllc |
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Speciality | Family Medicine |
Location | 943 Whitney Ave, Memphis, Tennessee |
Authorized Official Name and Position | Nidal Rahal (MANAGER) |
Authorized Official Contact | 9012794360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatrics & Palliative Care Pllc 943 Whitney Ave Memphis TN 38127-7734 Ph: (901) 279-4360 | Geriatrics & Palliative Care Pllc 943 Whitney Ave Memphis TN 38127-7734 Ph: (901) 358-0326 |
NPI Number | 1073387148 |
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Provider Enumeration Date | 11/09/2023 |
Last Update Date | 09/07/2024 |
Medicare PECOS PAC ID | 4688013196 |
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Medicare Enrollment ID | O20240417000884 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073387148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nidal Rahal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235106154 PECOS PAC ID: 0143236554 Enrollment ID: I20060222000486 |
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