| Aileen Gayoso, Md, Pllc | |
|
8756 Gumleaf Cv Germantown TN 38138-7358 | |
| (901) 569-0519 | |
| Not Available |
| Full Name | Aileen Gayoso, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8756 Gumleaf Cv, Germantown, Tennessee |
| Authorized Official Name and Position | Aileen Gayoso (PRESIDENT) |
| Authorized Official Contact | 9015690519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aileen Gayoso, Md, Pllc Po Box 1000 Dept 311 Memphis TN 38148-0001 Ph: (901) 569-0519 | Aileen Gayoso, Md, Pllc 8756 Gumleaf Cv Germantown TN 38138-7358 Ph: (901) 569-0519 |
| NPI Number | 1871631275 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 04/17/2023 |
| Medicare PECOS PAC ID | 5092609099 |
|---|---|
| Medicare Enrollment ID | O20090429000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871631275 | NPI | - | NPPES |
| 110001590 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15680 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aileen S Garcia-gayoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891757761 PECOS PAC ID: 1254225253 Enrollment ID: I20050503000928 |
| Provider Name | Hieu Vo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689807455 PECOS PAC ID: 0941457360 Enrollment ID: I20120820001015 |
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