| Charles H Fraga, MD | |
|
4250 Bethel Rd, Olive Branch, MS 38654-8737 | |
| (901) 516-1290 | |
| (901) 516-1220 |
| Full Name | Charles H Fraga |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 4250 Bethel Rd, Olive Branch, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487097002 | NPI | - | NPPES |
| Entity Name | Methodist Inpatient Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609850692 PECOS PAC ID: 1254241235 Enrollment ID: O20050815000700 |
| Entity Name | Ut Lebonheur Pediatric Specialists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093024101 PECOS PAC ID: 7719173939 Enrollment ID: O20101130000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H Fraga, MD 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () - | Charles H Fraga, MD 4250 Bethel Rd, Olive Branch, MS 38654-8737 Ph: (901) 516-1290 |
Douglas Thaggard, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Dr. Shailesh Mansukh Patel, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Rami Sakaan, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
John William Allen Jr., MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd Ste 1, Olive Branch, MS 38654 Phone: 662-874-6507 Fax: 662-932-8197 | |
Ketul P Vora, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Scott Wood Kirsch, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 |