Midha Medical Clinic | |
1404 Montreal Rd Tucker GA 30084 | |
(770) 492-8665 | |
(770) 492-8663 |
Full Name | Midha Medical Clinic |
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Speciality | Family Medicine |
Location | 1404 Montreal Rd, Tucker, Georgia |
Authorized Official Name and Position | Raju Midha (SOLE MEMBER) |
Authorized Official Contact | 7704928665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midha Medical Clinic 1404 Montreal Rd Tucker GA 30084 Ph: (770) 492-8665 | Midha Medical Clinic 1404 Montreal Rd Tucker GA 30084 Ph: (770) 492-8665 |
NPI Number | 1649579046 |
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Provider Enumeration Date | 03/24/2011 |
Last Update Date | 11/03/2020 |
Medicare PECOS PAC ID | 7012192271 |
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Medicare Enrollment ID | O20110503000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649579046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Georgia) | Primary |
Provider Name | Raju Midha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497745251 PECOS PAC ID: 4183693989 Enrollment ID: I20040929000001 |
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