| Raphlan Medical Associates | |
|
6106 Shallowford Rd Suite100 Chattanooga TN 37421-2239 | |
| (423) 208-9377 | |
| (423) 475-5143 |
| Full Name | Raphlan Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 6106 Shallowford Rd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Raphael Dada Lanade (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4232089377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raphlan Medical Associates 6106 Shallowford Rd Suite100 Chattanooga TN 37421-2239 Ph: (423) 208-9377 | Raphlan Medical Associates 6106 Shallowford Rd Suite100 Chattanooga TN 37421-2239 Ph: (423) 208-9377 |
| NPI Number | 1871925099 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Medicare PECOS PAC ID | 1456589340 |
|---|---|
| Medicare Enrollment ID | O20140123000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871925099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31717 (Tennessee) | Primary |
| Provider Name | Raphael D Lanade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427081884 PECOS PAC ID: 3274581558 Enrollment ID: I20050104000790 |
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