| Nc Elder Care Pllc | |
|
1380 Eastchester Dr Ste 103 High Point NC 27265-2660 | |
| (336) 521-9480 | |
| Not Available |
| Full Name | Nc Elder Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1380 Eastchester Dr Ste 103, High Point, North Carolina |
| Authorized Official Name and Position | Rizwan Pasha Haque (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3365219480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nc Elder Care Pllc 1380 Eastchester Dr Ste 103 High Point NC 27265-2660 Ph: () - | Nc Elder Care Pllc 1380 Eastchester Dr Ste 103 High Point NC 27265-2660 Ph: (336) 521-9480 |
| NPI Number | 1962948240 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 6406293851 |
|---|---|
| Medicare Enrollment ID | O20240321002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962948240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 218968 (North Carolina) | Primary |
| Provider Name | Imran P Haque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134107022 PECOS PAC ID: 7911808761 Enrollment ID: I20040115000793 |
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