| Verzosa Ungab Internal Medicine | |
|
2851 Stage Center Dr Bartlett TN 38134-4679 | |
| (901) 388-7711 | |
| (901) 507-2280 |
| Full Name | Verzosa Ungab Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2851 Stage Center Dr, Bartlett, Tennessee |
| Authorized Official Name and Position | Samuel T Verzosa (PRESIDENT) |
| Authorized Official Contact | 9013887711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verzosa Ungab Internal Medicine 2851 Stage Center Dr Bartlett TN 38134-4679 Ph: (901) 388-7711 | Verzosa Ungab Internal Medicine 2851 Stage Center Dr Bartlett TN 38134-4679 Ph: (901) 388-7711 |
| NPI Number | 1427007376 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 12/10/2009 |
| Medicare PECOS PAC ID | 7618063652 |
|---|---|
| Medicare Enrollment ID | O20071022000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427007376 | NPI | - | NPPES |
| 2586717 | Other | TN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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