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PARK HIGHLAND MEDICAL CLINIC PLLC NPI 1689855124


NPI Information

NPI: 1689855124
Provider Name: PARK HIGHLAND MEDICAL CLINIC, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D2161520

Address:
3836 PARK AVE
MEMPHIS, TN
ZIP 38111
Phone: (901) 324-3984
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PARK HIGHLAND MEDICAL CLINIC, PLLC is a family medicine in Memphis, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PARK HIGHLAND MEDICAL CLINIC, PLLC NPI is 1689855124. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3836 PARK AVE
MEMPHIS, TN
ZIP 38111-633
Phone: (901) 324-3984

The provider's authorized official is Sudha Prasad .
The authorized official title is Physician and has the following contact phone number (901) 324-3984.

The CLIA number assigned to this NPI record is 44D2161520 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 2/19/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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: 4/28/2024

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