| Ally Care LLC | |
|
300 Health Way Dr Potosi MO 63664-1420 | |
| (314) 827-4701 | |
| Not Available |
| Full Name | Ally Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Health Way Dr, Potosi, Missouri |
| Authorized Official Name and Position | Afnan R Tariq (MANAGING MEMBER) |
| Authorized Official Contact | 3142656801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ally Care LLC 23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908 | Ally Care LLC 300 Health Way Dr Potosi MO 63664-1420 Ph: (314) 827-4701 |
| NPI Number | 1902746852 |
|---|---|
| Provider Enumeration Date | 03/31/2026 |
| Last Update Date | 06/29/2026 |
| Certification Date | 06/29/2026 |
| Medicare PECOS PAC ID | 3476024597 |
|---|---|
| Medicare Enrollment ID | O20260609002316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902746852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Secondary |
| Provider Name | Afnan Raouf Tariq |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194146431 PECOS PAC ID: 9931484813 Enrollment ID: I20200509000199 |
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