Provider Demographics
NPI:1215009428
Name:TELLUS, FRANCOIS G (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCOIS
Middle Name:G
Last Name:TELLUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 CLARENDON RD
Mailing Address - Street 2:11TH FL. SOUTH
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-6415
Mailing Address - Country:US
Mailing Address - Phone:718-462-6611
Mailing Address - Fax:718-462-4944
Practice Address - Street 1:3101 CLARENDON RD
Practice Address - Street 2:11TH FL. SOUTH
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6415
Practice Address - Country:US
Practice Address - Phone:718-462-6611
Practice Address - Fax:718-462-4944
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211281207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01897209Medicaid
NYG78412Medicare UPIN
NY01897209Medicaid