| Mdtele | |
|
3326 Aspen Grove Dr Ste 502 Franklin TN 37067-4839 | |
| (718) 509-7941 | |
| Not Available |
| Full Name | Mdtele |
|---|---|
| Speciality | Clinic/Center |
| Location | 3326 Aspen Grove Dr Ste 502, Franklin, Tennessee |
| Authorized Official Name and Position | Karim Mahmoud (CEO) |
| Authorized Official Contact | 7185097941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdtele 1310 Lunar Dr Murfreesboro TN 37129-2685 | Mdtele 3326 Aspen Grove Dr Ste 502 Franklin TN 37067-4839 Ph: (718) 509-7941 |
| NPI Number | 1467271163 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 0143758805 |
|---|---|
| Medicare Enrollment ID | O20250108001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467271163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Beth Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710151113 PECOS PAC ID: 3072680024 Enrollment ID: I20080917000644 |
| Provider Name | Karim Ahmed Ibrahim Mahmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871908939 PECOS PAC ID: 3779885876 Enrollment ID: I20211014000821 |
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