| My Doctors Medical Group, Pllc | |
|
6385 Stage Rd Ste 2 Bartlett TN 38134-3740 | |
| (901) 409-7562 | |
| Not Available |
| Full Name | My Doctors Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6385 Stage Rd Ste 2, Bartlett, Tennessee |
| Authorized Official Name and Position | Ali Naqvi (MEMBER/MANAGER) |
| Authorized Official Contact | 9014097562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Doctors Medical Group, Pllc 6385 Stage Rd Ste 2 Bartlett TN 38134-3740 Ph: (901) 409-7562 | My Doctors Medical Group, Pllc 6385 Stage Rd Ste 2 Bartlett TN 38134-3740 Ph: (901) 409-7562 |
| NPI Number | 1083351027 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 0840679155 |
|---|---|
| Medicare Enrollment ID | O20220616001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083351027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Sharon L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255396859 PECOS PAC ID: 3274578042 Enrollment ID: I20050629000093 |
| Provider Name | Loretta Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285792648 PECOS PAC ID: 4981619715 Enrollment ID: I20060215000028 |
| Provider Name | Shoaib Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417056250 PECOS PAC ID: 9133222995 Enrollment ID: I20070315000192 |
| Provider Name | Tri M Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235268517 PECOS PAC ID: 4688744634 Enrollment ID: I20080602000858 |
| Provider Name | Mohamad K Moughrabieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063679827 PECOS PAC ID: 6406917269 Enrollment ID: I20090610000024 |
| Provider Name | Imran Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679599922 PECOS PAC ID: 7416081419 Enrollment ID: I20100812000620 |
| Provider Name | Abdullah Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538126784 PECOS PAC ID: 9830381789 Enrollment ID: I20101011000268 |
| Provider Name | Marla R Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284415 PECOS PAC ID: 7810164787 Enrollment ID: I20120117000455 |
| Provider Name | Mordecia D Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629413091 PECOS PAC ID: 5496992612 Enrollment ID: I20130507000688 |
| Provider Name | Lauren Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023427952 PECOS PAC ID: 5193027746 Enrollment ID: I20171122001569 |
| Provider Name | Elizabeth Janine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225542723 PECOS PAC ID: 6709127145 Enrollment ID: I20190424002761 |
| Provider Name | Cherechi C Ogwo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720321060 PECOS PAC ID: 8729226600 Enrollment ID: I20190829004381 |
| Provider Name | Kayla S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922611854 PECOS PAC ID: 3870905300 Enrollment ID: I20201207002601 |
| Provider Name | Mary L Wigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538806591 PECOS PAC ID: 4981086428 Enrollment ID: I20220801001884 |
| Provider Name | Kimberly Jo Okelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205560901 PECOS PAC ID: 5193107548 Enrollment ID: I20220801002682 |
| Provider Name | Nadja Barros Barrantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679279210 PECOS PAC ID: 1153795026 Enrollment ID: I20230315001745 |
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