| Kam Tareen Md Pc | |
|
2821 Island Ave Suite H Philadelphia PA 19153-2300 | |
| (215) 863-6140 | |
| (215) 492-0458 |
| Full Name | Kam Tareen Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2821 Island Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kamran Tareen (PRESIDENT) |
| Authorized Official Contact | 2158636140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kam Tareen Md Pc 623 Foxfields Rd Bryn Mawr PA 19010-2056 Ph: (215) 863-6140 | Kam Tareen Md Pc 2821 Island Ave Suite H Philadelphia PA 19153-2300 Ph: (215) 863-6140 |
| NPI Number | 1730290370 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193748861 |
|---|---|
| Medicare Enrollment ID | O20060109000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730290370 | NPI | - | NPPES |
| 0015471250008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD050304L (Pennsylvania) | Primary |
| Provider Name | Kamran Tareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245240985 PECOS PAC ID: 9032130109 Enrollment ID: I20051216000191 |
| Provider Name | Patricia Bevlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760699565 PECOS PAC ID: 5294834883 Enrollment ID: I20070622000054 |
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