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NPI Code Detail

MEDICARE: VERZOSA UNGAB INTERNAL MEDICINE

MEDICARE: VERZOSA UNGAB INTERNAL MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12586717OTHERTNAETNA

General Provider Information

NPI Number : 1427007376
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERZOSA UNGAB INTERNAL MEDICINE
Provider Business Mailing Address
First Line : 2851 STAGE CENTER DR
Second Line :
City : BARTLETT
State : TN
Zip : 38134-4679
Country : US
Telephone Number : 901-388-7711
Fax Number : 901-507-2280
Provider Business Practice Location Address
First Line : 2851 STAGE CENTER DR
Second Line :
City : BARTLETT
State : TN
Zip : 38134-4679
Country : US
Telephone Number : 901-388-7711
Fax Number : 901-507-2280
Authorized Official
Title or Position : PRESIDENT
Name : DR. SAMUEL T VERZOSA
Credential : MD
Telephone Number : 901-388-7711
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/10/2009

Similar Medicare Providers

1053314104 — DR. RAMON T UNGAB M.D.
Practice Location Address:
2851 STAGE CENTER DR
BARTLETT, TN
38134-4679
Practice Phone: 901-388-7711
Practice Fax: 901-507-2280
1730182882 — DR. SAMUEL TADIAR VERZOSA MD
Practice Location Address:
2851 STAGE CENTER DR
BARTLETT, TN
38134-4679
Practice Phone: 901-388-7711
Practice Fax: 901-507-2280
1114043791 — PROF. PATRICIA AR ARANGIE APRN PHD
Practice Location Address:
2851 STAGE CENTER DR
BARTLETT, TN
38134-4679
Practice Phone: 901-388-7711
Practice Fax:
1255545554 — DR. BEN RICHARD WILLIAMS DDS
Practice Location Address:
2863 STAGE CENTER DR
BARTLETT, TN
38134-4679
Practice Phone: 901-372-0352
Practice Fax:
1588662266 — CITY OF BARTLETT
Practice Location Address:
2939 ALTRURIA RD
BARTLETT, TN
38134-3861
Practice Phone: 901-385-5536
Practice Fax: 901-385-9917
1104823020 — CECILIA D ADAMS MD
Practice Location Address:
6637 SUMMER KNOLL CIR , SUITE 101
BARTLETT, TN
38134-2875
Practice Phone: 901-372-5260
Practice Fax: 901-386-8726

Directions to “VERZOSA UNGAB INTERNAL MEDICINE ” Practice Location

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