| Ali Lung Clinic Pc | |
|
706 Wilkins St Ste C Smithfield NC 27577-4662 | |
| (919) 205-1627 | |
| (919) 205-1686 |
| Full Name | Ali Lung Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 706 Wilkins St, Smithfield, North Carolina |
| Authorized Official Name and Position | Mir Mustafa Ali (PRESIDENT) |
| Authorized Official Contact | 9192051627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Lung Clinic Pc 706 Wilkins St Ste C Smithfield NC 27577-4662 Ph: (919) 205-1627 | Ali Lung Clinic Pc 706 Wilkins St Ste C Smithfield NC 27577-4662 Ph: (919) 205-1627 |
| NPI Number | 1548625684 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 04/05/2016 |
| Medicare PECOS PAC ID | 3173827649 |
|---|---|
| Medicare Enrollment ID | O20160203000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548625684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2014-01985 (North Carolina) | Primary |
| Provider Name | Mir Mustafa Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396973996 PECOS PAC ID: 3678707387 Enrollment ID: I20160203000563 |
| Provider Name | Chandani Ashwin Lavani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245917863 PECOS PAC ID: 7012378151 Enrollment ID: I20230804001850 |
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