Musselmani Internal Medicine Pc | |
1422 Poindexter St Chesapeake VA 23324-2431 | |
(757) 543-3557 | |
Not Available |
Full Name | Musselmani Internal Medicine Pc |
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Speciality | Internal Medicine |
Location | 1422 Poindexter St, Chesapeake, Virginia |
Authorized Official Name and Position | Zattam Musselmani (OWNER) |
Authorized Official Contact | 7575433557 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Musselmani Internal Medicine Pc 1422 Poindexter St Chesapeake VA 23324-2431 Ph: (757) 543-3557 | Musselmani Internal Medicine Pc 1422 Poindexter St Chesapeake VA 23324-2431 Ph: (757) 543-3557 |
NPI Number | 1447463476 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 09/15/2008 |
Medicare PECOS PAC ID | 9133168727 |
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Medicare Enrollment ID | O20050503000710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447463476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101059204 (Virginia) | Primary |
Provider Name | Zattam M Musselmani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295816221 PECOS PAC ID: 9032158621 Enrollment ID: I20050503000738 |
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