Qualcomp Preferred Medical Consultants.pc | |
2401 W University Ave Muncie IN 47303-3428 | |
(765) 747-3111 | |
Not Available |
Full Name | Qualcomp Preferred Medical Consultants.pc |
---|---|
Speciality | Clinic/Center |
Location | 2401 W University Ave, Muncie, Indiana |
Authorized Official Name and Position | Wail Bakdash (PRESIDENT) |
Authorized Official Contact | 7652080823 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Qualcomp Preferred Medical Consultants.pc 10341 Aurora Ct Fishers IN 46038-5510 Ph: (765) 208-0823 | Qualcomp Preferred Medical Consultants.pc 2401 W University Ave Muncie IN 47303-3428 Ph: (765) 747-3111 |
NPI Number | 1124154331 |
---|---|
Provider Enumeration Date | 02/24/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5193821841 |
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Medicare Enrollment ID | O20070426000374 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124154331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 01047723A (Indiana) | Primary |
Provider Name | Wa'el Bakdash |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275552481 PECOS PAC ID: 8426941261 Enrollment ID: I20040205000145 |
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