| Wisemd | |
| 
					1111 W 4th St Madera CA 93637-4474  | |
| (516) 467-9393 | |
| Not Available | 
| Full Name | Wisemd | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1111 W 4th St, Madera, California | 
| Authorized Official Name and Position | Tabish Aftab Naz (CEO/PRESIDENT) | 
| Authorized Official Contact | 5164679393 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wisemd 1111 W 4th St Madera CA 93637-4474 Ph: () -  | Wisemd 1111 W 4th St Madera CA 93637-4474 Ph: (516) 467-9393  | 
| NPI Number | 1437847837 | 
|---|---|
| Provider Enumeration Date | 04/25/2023 | 
| Last Update Date | 11/16/2024 | 
| Medicare PECOS PAC ID | 3678937000 | 
|---|---|
| Medicare Enrollment ID | O20230918003268 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437847837 | NPI | - | NPPES | 
| A184152 | Other | CA | CALIFORNIA STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary | 
| 207QS1201X | Family Medicine - Sleep Medicine | (* (Not Available)) | Primary | 
| Provider Name | Mehmiya Raghid | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1174971170 PECOS PAC ID: 5395032965 Enrollment ID: I20240220004444  | 
| Provider Name | Tabish Naz | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1245899988 PECOS PAC ID: 9739413808 Enrollment ID: I20240307003632  | 
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