| Dr Rabeeya Nusrat, MD | |
|
115 Garland Ave, Church Hill, TN 37642-3413 | |
| (423) 357-1011 | |
| (423) 357-1024 |
| Full Name | Dr Rabeeya Nusrat |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 115 Garland Ave, Church Hill, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134382880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 49609 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 49609 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
| O U Medical Center | Oklahoma city, OK | Hospital |
| Alliancehealth Midwest | Midwest city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 395 |
| Entity Name | Ssm Health Care Of Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rabeeya Nusrat, MD 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 408-7220 | Dr Rabeeya Nusrat, MD 115 Garland Ave, Church Hill, TN 37642-3413 Ph: (423) 357-1011 |
Mansoor Tanwir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Garland Ave, Church Hill, TN 37642 Phone: 423-357-1011 Fax: 423-357-1024 |