Star City Medical Clinic., Pc | |
1620 S 70th St 101 Lincoln NE 68506-1563 | |
(402) 484-6080 | |
Not Available |
Full Name | Star City Medical Clinic., Pc |
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Speciality | Internal Medicine |
Location | 1620 S 70th St, Lincoln, Nebraska |
Authorized Official Name and Position | Wasim M Chughtai (PRESIDENT) |
Authorized Official Contact | 4024846080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Star City Medical Clinic., Pc 1620 S 70th St 101 Lincoln NE 68506-1563 Ph: (402) 484-6080 | Star City Medical Clinic., Pc 1620 S 70th St 101 Lincoln NE 68506-1563 Ph: (402) 484-6080 |
NPI Number | 1346566593 |
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Provider Enumeration Date | 04/13/2010 |
Last Update Date | 04/13/2010 |
Medicare PECOS PAC ID | 0042349656 |
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Medicare Enrollment ID | O20100519000955 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346566593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
Provider Name | Wasim M Chughtai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154486306 PECOS PAC ID: 7416086061 Enrollment ID: I20100520000453 |
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