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PRIMARY CARE PLUS LLC NPI 1245465129


NPI Information

NPI: 1245465129
Provider Name: PRIMARY CARE PLUS, LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1405 W BADDOUR PKWY
SUITE 103
LEBANON, TN
ZIP 37087
Phone: (615) 443-1579
Get Directions

PRIMARY CARE PLUS, LLC is a geriatric medicine internal medicine in Lebanon, TN. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PRIMARY CARE PLUS, LLC NPI is 1245465129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1405 W BADDOUR PKWY
SUITE 103
LEBANON, TN
ZIP 37087-567
Phone: (615) 443-1579
Fax: (615) 443-1580

The provider's authorized official is Venkatesh Madhav .
The authorized official title is Physician/owner and has the following contact phone number (615) 443-1579.

The enumeration date for this NPI number is 5/21/2009 and was last updated on 12/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineL2436TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11515562MEDICAIDTENNESSEE
23373642MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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