P Pushpanshu Md Pllc | |
495 Hunters Mill Cv Collierville TN 38017-2434 | |
(901) 826-1977 | |
Not Available |
Full Name | P Pushpanshu Md Pllc |
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Speciality | Internal Medicine |
Location | 495 Hunters Mill Cv, Collierville, Tennessee |
Authorized Official Name and Position | Pushpanshu Pushpanshu (PRESIDENT) |
Authorized Official Contact | 9018261977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P Pushpanshu Md Pllc 495 Hunters Mill Cv Collierville TN 38017-2434 Ph: (901) 826-1977 | P Pushpanshu Md Pllc 495 Hunters Mill Cv Collierville TN 38017-2434 Ph: (901) 826-1977 |
NPI Number | 1619416633 |
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Provider Enumeration Date | 02/23/2017 |
Last Update Date | 03/28/2017 |
Medicare PECOS PAC ID | 2961789839 |
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Medicare Enrollment ID | O20170502000346 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619416633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD29566 (Tennessee) | Primary |
Provider Name | Pushpanshu Pushpanshu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477642817 PECOS PAC ID: 1153587514 Enrollment ID: I20140402001769 |
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