| Mt Internal Medicine Consulting Llc | |
|
4465 Narrow Lane Rd Montgomery AL 36116-2953 | |
| (334) 284-7700 | |
| Not Available |
| Full Name | Mt Internal Medicine Consulting Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4465 Narrow Lane Rd, Montgomery, Alabama |
| Authorized Official Name and Position | Mina Ezzat Tawadrous (OWNER) |
| Authorized Official Contact | 3342778330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Internal Medicine Consulting Llc 3644 Lockwood Ln Montgomery AL 36111-1548 Ph: () - | Mt Internal Medicine Consulting Llc 4465 Narrow Lane Rd Montgomery AL 36116-2953 Ph: (334) 284-7700 |
| NPI Number | 1083422364 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 5092245191 |
|---|---|
| Medicare Enrollment ID | O20250204003438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083422364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mina E Tawadrous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518450881 PECOS PAC ID: 4688072192 Enrollment ID: I20211014001121 |
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