| Synergy Primary Care And Wellness Llc | |
|
4895 Monroe St Ste 203 Toledo OH 43623-4349 | |
| (419) 885-0200 | |
| Not Available |
| Full Name | Synergy Primary Care And Wellness Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4895 Monroe St Ste 203, Toledo, Ohio |
| Authorized Official Name and Position | Bushra Ali (OWNER) |
| Authorized Official Contact | 4197252527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Primary Care And Wellness Llc Po Box 8440 Toledo OH 43623-0440 Ph: (419) 885-0200 | Synergy Primary Care And Wellness Llc 4895 Monroe St Ste 203 Toledo OH 43623-4349 Ph: (419) 885-0200 |
| NPI Number | 1982111084 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0941545040 |
|---|---|
| Medicare Enrollment ID | O20181218002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982111084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.093947 (Ohio) | Primary |
| Provider Name | Bushra Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861668402 PECOS PAC ID: 4981750429 Enrollment ID: I20090924000161 |
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