| Joshi Clinic Pa | |
|
16 Murray Guard Dr Ste B Jackson TN 38305-3751 | |
| (731) 660-0887 | |
| (731) 660-0897 |
| Full Name | Joshi Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 16 Murray Guard Dr Ste B, Jackson, Tennessee |
| Authorized Official Name and Position | Mahendra Kumar Joshi (OWNER) |
| Authorized Official Contact | 7316600887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshi Clinic Pa 16b Murray Guard Dr Jackson TN 38305-3609 Ph: (731) 660-0887 | Joshi Clinic Pa 16 Murray Guard Dr Ste B Jackson TN 38305-3751 Ph: (731) 660-0887 |
| NPI Number | 1679598825 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 11/02/2007 |
| Medicare PECOS PAC ID | 6305803362 |
|---|---|
| Medicare Enrollment ID | O20041213000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679598825 | NPI | - | NPPES |
| 3727340 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahendra Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124047568 PECOS PAC ID: 5395702351 Enrollment ID: I20041215000909 |
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