| Nizar A. Tejani MD. PC | |
|
1004 Hospital Dr Stockbridge GA 30281-7384 | |
| (770) 507-9929 | |
| (770) 507-9930 |
| Full Name | Nizar A. Tejani MD. PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1004 Hospital Dr, Stockbridge, Georgia |
| Authorized Official Name and Position | Nizar a Tejani (DIRECTOR) |
| Authorized Official Contact | 7705079929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nizar A. Tejani MD. PC 1004 Hospital Dr Stockbridge GA 30281-7384 Ph: (770) 507-9929 | Nizar A. Tejani MD. PC 1004 Hospital Dr Stockbridge GA 30281-7384 Ph: (770) 507-9929 |
| NPI Number | 1548444748 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 03/18/2008 |
| Medicare PECOS PAC ID | 0547173619 |
|---|---|
| Medicare Enrollment ID | O20031106000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548444748 | NPI | - | NPPES |
| 00526666B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (NU) | Primary |
| Provider Name | Nizar Tejani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043311459 PECOS PAC ID: 1254244338 Enrollment ID: I20031107000226 |
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