| Mtn Care, Pllc | |
|
5543 Edmondson Pike # 231 Nashville TN 37211-5808 | |
| (615) 569-8168 | |
| (615) 549-1532 |
| Full Name | Mtn Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5543 Edmondson Pike # 231, Nashville, Tennessee |
| Authorized Official Name and Position | Haroon Khan (OWNER) |
| Authorized Official Contact | 6155698168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtn Care, Pllc 5543 Edmondson Pike # 231 Nashville TN 37211-5808 Ph: (615) 569-8168 | Mtn Care, Pllc 5543 Edmondson Pike # 231 Nashville TN 37211-5808 Ph: (615) 569-8168 |
| NPI Number | 1881179844 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 06/25/2019 |
| Medicare PECOS PAC ID | 0749528701 |
|---|---|
| Medicare Enrollment ID | O20190218000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881179844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Haroon N Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730114315 PECOS PAC ID: 9931103173 Enrollment ID: I20061010000383 |
| Provider Name | Wardah Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063937670 PECOS PAC ID: 8022376334 Enrollment ID: I20171214001034 |
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