| Associates In Infectious Diseases, Psc | |
|
9720 Park Plaza Ave Suite 104 Louisville KY 40241-2288 | |
| (502) 425-9138 | |
| (502) 425-9161 |
| Full Name | Associates In Infectious Diseases, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9720 Park Plaza Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Tariq Mehmood (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5022389911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Infectious Diseases, Psc 9720 Park Plaza Ave Suite 104 Louisville KY 40241-2288 Ph: (502) 425-9138 | Associates In Infectious Diseases, Psc 9720 Park Plaza Ave Suite 104 Louisville KY 40241-2288 Ph: (502) 425-9138 |
| NPI Number | 1053499046 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 04/23/2014 |
| Medicare PECOS PAC ID | 0749272169 |
|---|---|
| Medicare Enrollment ID | O20040402000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053499046 | NPI | - | NPPES |
| DB9971 | Other | RAILROAD MEDICARE | |
| 200471340A | Medicaid | IN | |
| 65938268 | Medicaid | KY |
| Provider Name | Kamran Akhtar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669486346 PECOS PAC ID: 9335131762 Enrollment ID: I20040402000980 |
| Provider Name | Sara Lynn Linstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922288687 PECOS PAC ID: 1759464902 Enrollment ID: I20080211000521 |
| Provider Name | Tariq Mehmood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134239619 PECOS PAC ID: 3375535701 Enrollment ID: I20110106000040 |
| Provider Name | Diana Tidal Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609259639 PECOS PAC ID: 5597065151 Enrollment ID: I20151203002104 |
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