Simon H Tesfau Md Pc | |
1390 Reserve Dr Apt 104 Cordova TN 38016-6300 | |
(347) 879-2645 | |
Not Available |
Full Name | Simon H Tesfau Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 1390 Reserve Dr, Cordova, Tennessee |
Authorized Official Name and Position | Simon H Tesfau (OWNER/PRESIDENT) |
Authorized Official Contact | 3478792645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Simon H Tesfau Md Pc 1390 Reserve Dr Apt 104 Cordova TN 38016-6300 Ph: (347) 879-2645 | Simon H Tesfau Md Pc 1390 Reserve Dr Apt 104 Cordova TN 38016-6300 Ph: (347) 879-2645 |
NPI Number | 1386892255 |
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Provider Enumeration Date | 09/04/2008 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386892255 | NPI | - | NPPES |
41174 | Other | TN | MD LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 41174 (Tennessee) | Primary |
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