| Advanced Internal Medicine Pllc | |
|
9891 Legends Dr Germantown TN 38139-6978 | |
| (901) 212-1680 | |
| Not Available |
| Full Name | Advanced Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9891 Legends Dr, Germantown, Tennessee |
| Authorized Official Name and Position | Linda Oraedu (MEMBER) |
| Authorized Official Contact | 9012121680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medicine Pllc Po Box 383074 Germantown TN 38183-3074 Ph: () - | Advanced Internal Medicine Pllc 9891 Legends Dr Germantown TN 38139-6978 Ph: (901) 212-1680 |
| NPI Number | 1932428802 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 05/18/2010 |
| Medicare PECOS PAC ID | 6800089152 |
|---|---|
| Medicare Enrollment ID | O20101020000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932428802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda Ijeoma Oraedu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841469756 PECOS PAC ID: 7719170968 Enrollment ID: I20101020000145 |
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