| Pollux Llc | |
|
535 Coliseum Dr Macon GA 31217-0104 | |
| (478) 803-7300 | |
| (478) 803-7417 |
| Full Name | Pollux Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 535 Coliseum Dr, Macon, Georgia |
| Authorized Official Name and Position | Raja Khan (OWNER) |
| Authorized Official Contact | 3147579436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pollux Llc Po Box 26040 Macon GA 31221-6040 Ph: (478) 475-1299 | Pollux Llc 535 Coliseum Dr Macon GA 31217-0104 Ph: (478) 803-7300 |
| NPI Number | 1962109926 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 4082088067 |
|---|---|
| Medicare Enrollment ID | O20230314001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962109926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Raja Muhammad Arshad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124307459 PECOS PAC ID: 1456584515 Enrollment ID: I20200710001782 |
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