| Tessy Meridores Md Inc | |
|
18099 Lorain Ave Ste 316 Cleveland OH 44111-5610 | |
| (216) 252-2950 | |
| (216) 251-8760 |
| Full Name | Tessy Meridores Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18099 Lorain Ave, Cleveland, Ohio |
| Authorized Official Name and Position | Tessy Meridores (PRESIDENT) |
| Authorized Official Contact | 2162522950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tessy Meridores Md Inc Po Box 451198 Westlake OH 44145-0630 Ph: (216) 252-2950 | Tessy Meridores Md Inc 18099 Lorain Ave Ste 316 Cleveland OH 44111-5610 Ph: (216) 252-2950 |
| NPI Number | 1740275684 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 08/28/2014 |
| Medicare PECOS PAC ID | 2062587405 |
|---|---|
| Medicare Enrollment ID | O20080819000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740275684 | NPI | - | NPPES |
| 2857298 | Medicaid | OH | |
| 0180745 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35065853 (Ohio) | Primary |
| Provider Name | Tessy Meridores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194991620 PECOS PAC ID: 9739169814 Enrollment ID: I20040720001625 |
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