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NPI Code Detail

MEDICARE: DR. MONA TOMESCU M.D.

MEDICARE: DR. MONA TOMESCU M.D.
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 Physician2006017328MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12006017328OTHERMOSTATE MEDICAL LISCENSE

General Provider Information

NPI Number : 1588697288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONA TOMESCU M.D.
Provider Business Mailing Address
First Line : 1056 E RAINES RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38116-6337
Country : US
Telephone Number : 901-300-5777
Fax Number : 901-422-6092
Provider Business Practice Location Address
First Line : 1056 E RAINES RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38116-6337
Country : US
Telephone Number : 901-300-5777
Fax Number : 901-422-6092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 03/17/2025

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