| Bluegrass Family Medicine Harrodsburg Pllc | |
|
705 S College St Harrodsburg KY 40330-2105 | |
| (859) 792-1420 | |
| Not Available |
| Full Name | Bluegrass Family Medicine Harrodsburg Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 705 S College St, Harrodsburg, Kentucky |
| Authorized Official Name and Position | Tariq Arain (CONSULTANT) |
| Authorized Official Contact | 8596052324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluegrass Family Medicine Harrodsburg Pllc Po Box 910866 Lexington KY 40591-0866 Ph: (859) 605-2324 | Bluegrass Family Medicine Harrodsburg Pllc 705 S College St Harrodsburg KY 40330-2105 Ph: (859) 792-1420 |
| NPI Number | 1467175513 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 1850761214 |
|---|---|
| Medicare Enrollment ID | O20230823000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467175513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Tariq A Arain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215979711 PECOS PAC ID: 9830111020 Enrollment ID: I20060103000245 |
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