Vhg Telemed Center Llc | |
6550 Main St Unit 1571 New Port Richey FL 34656-9763 | |
(727) 848-2273 | |
Not Available |
Full Name | Vhg Telemed Center Llc |
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Speciality | Family Medicine |
Location | 6550 Main St Unit 1571, New Port Richey, Florida |
Authorized Official Name and Position | Shari Rosenberg (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7278085591 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vhg Telemed Center Llc 6550 Main St Unit 1571 New Prt Rchy FL 34656-9763 Ph: () - | Vhg Telemed Center Llc 6550 Main St Unit 1571 New Port Richey FL 34656-9763 Ph: (727) 848-2273 |
NPI Number | 1275395394 |
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Provider Enumeration Date | 01/24/2024 |
Last Update Date | 01/24/2024 |
Medicare PECOS PAC ID | 7315383171 |
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Medicare Enrollment ID | O20240314003542 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275395394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Haider Ali Khan |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598764953 PECOS PAC ID: 8426338898 Enrollment ID: I20170516002519 |
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