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MEMPHIS CARDIAC CARE CENTER PLLC NPI 1053362749


NPI Information

NPI: 1053362749
Provider Name: MEMPHIS CARDIAC CARE CENTER, PLLC
Classification: Internal Medicine - 207RC0001X
Entity Type: Organization

Specialization: Clinical Cardiac Electrophysiology

Address:
1325 EASTMORELAND AVE
SUITE 440
MEMPHIS, TN
ZIP 38104
Phone: (901) 722-8884
Get Directions

MEMPHIS CARDIAC CARE CENTER, PLLC is a clinical cardiac electrophysiology internal medicine in Memphis, TN. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. MEMPHIS CARDIAC CARE CENTER, PLLC NPI is 1053362749. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325 EASTMORELAND AVE
SUITE 440
MEMPHIS, TN
ZIP 38104-519
Phone: (901) 722-8884
Fax: (901) 276-1436

The provider's authorized official is Sunil Jha .
The authorized official title is President and has the following contact phone number (901) 722-8884.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 12/6/2007.


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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyMD0000035150TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13731136MEDICARE PINTENNESSEE
200124374MEDICAIDMISSISSIPPI
33863065MEDICAIDTENNESSEE
4H34649MEDICARE UPINTENNESSEE

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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