DR. CHRISTOPHER CHARLES DERENZO M.D. NPI 1871755447

NPI Information

NPI: 1871755447
Provider Name: DR. CHRISTOPHER CHARLES DERENZO, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (901) 595-3300
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DR. Christopher Charles Derenzo, M.D. is a pediatric hematology-oncology pediatrics in Memphis, TN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Christopher Charles Derenzo, M.D. NPI is 1871755447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105-678
Phone: (901) 595-3300

The NPI 1871755447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 4/1/2019.

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
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	57263	TENNESSEE	Yes
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	P9066	TEXAS	No
3	390200000X	Student in an Organized Health Care Education/Training Program		AU2866626X053	OHIO	No

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

NPI Synchronization or Removal

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