| E Michael Agapos, MD, PC | |
|
3960 New Covington Pike Memphis TN 38128-2504 | |
| (901) 761-4131 | |
| (901) 761-4145 |
| Full Name | E Michael Agapos, MD, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3960 New Covington Pike, Memphis, Tennessee |
| Authorized Official Name and Position | Emmanuel Michael Agapos (PHYSICIAN) |
| Authorized Official Contact | 9017572345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E Michael Agapos, MD, PC Po Box 231 Memphis TN 38101-0231 Ph: (901) 757-2345 | E Michael Agapos, MD, PC 3960 New Covington Pike Memphis TN 38128-2504 Ph: (901) 761-4131 |
| NPI Number | 1245275163 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 04/22/2019 |
| Medicare PECOS PAC ID | 4486550282 |
|---|---|
| Medicare Enrollment ID | O20031211000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245275163 | NPI | - | NPPES |
| 00123392 | Medicaid | MS | |
| 4069219 | Other | TN | BC/BS PROV ID |
| Q013104 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26642 (Tennessee) | Primary |
| Provider Name | Emmanuel M Agapos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245298132 PECOS PAC ID: 0648176446 Enrollment ID: I20051107000244 |
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