| 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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