| Internal Medicine Diagnostics Inc | |
|
197 Hospital Dr Suite B Cherokee Village AR 72529-7314 | |
| (870) 257-5118 | |
| Not Available |
| Full Name | Internal Medicine Diagnostics Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 197 Hospital Dr, Cherokee Village, Arkansas |
| Authorized Official Name and Position | Nirmal K Sidhu (OFFICE MANAGER) |
| Authorized Official Contact | 8702575118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Diagnostics Inc 197 Hospital Dr Suite B Cherokee Village AR 72529-7314 Ph: (870) 257-5118 | Internal Medicine Diagnostics Inc 197 Hospital Dr Suite B Cherokee Village AR 72529-7314 Ph: (870) 257-5118 |
| NPI Number | 1114913936 |
|---|---|
| Provider Enumeration Date | 09/27/2005 |
| Last Update Date | 08/07/2007 |
| Medicare PECOS PAC ID | 5294791984 |
|---|---|
| Medicare Enrollment ID | O20041203000974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114913936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Surinder P Sra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700845740 PECOS PAC ID: 6103873245 Enrollment ID: I20050331001194 |
| Provider Name | Amanda B Dunavant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861964447 PECOS PAC ID: 7214274190 Enrollment ID: I20190130002725 |
| Provider Name | Christina Marie Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386216109 PECOS PAC ID: 8820492325 Enrollment ID: I20210805001234 |
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