Provider Demographics
NPI:1093325458
Name:NEWTON MEDICAL & TELEHEALTH CLINIC
Entity Type:Organization
Organization Name:NEWTON MEDICAL & TELEHEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAZEE
Authorized Official - Middle Name:AMEIR
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-917-0810
Mailing Address - Street 1:PO BOX 3189
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39303-3189
Mailing Address - Country:US
Mailing Address - Phone:601-917-0810
Mailing Address - Fax:601-483-5569
Practice Address - Street 1:109 SCHOOL STREET EXT
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345-2272
Practice Address - Country:US
Practice Address - Phone:601-678-6713
Practice Address - Fax:601-483-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty