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CRESCENT MEDICAL INC. NPI 1295926590


NPI Information

NPI: 1295926590
Provider Name: CRESCENT MEDICAL INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 44D0967246

Address:
1264 WESLEY DR
SUITE 501
MEMPHIS, TN
ZIP 38116
Phone: (901) 346-1800
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CRESCENT MEDICAL INC. is an internal medicine in Memphis, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CRESCENT MEDICAL INC. NPI is 1295926590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1264 WESLEY DR
SUITE 501
MEMPHIS, TN
ZIP 38116
Phone: (901) 346-1800
Fax: (901) 346-0043

The provider's authorized official is Ahsan H Kathawala .
The authorized official title is President and has the following contact phone number (901) 346-1800.

The CLIA number assigned to this NPI record is 44D0967246 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 9/21/2007.


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
1207R00000XInternal MedicineMD0000028245TENNESSEEYes

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
1000000115782OTHERUNISON HEALTH PLAN
28394237OTHERTENNESSEECIGNA
33804749MEDICAIDTENNESSEE
4607266900OTHERACS
5140096001MEDICAIDARKANSAS
63027560OTHERTENNESSEEAETNA
74028944OTHERTENNESSEEBLUE CROSS BLUE SHEILD
85009811OTHERMEMPHIS MANAGED CARE
93374672MEDICARE PIN
10110235971OTHERRAILROAD MEDICARE
11G32312MEDICARE UPIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.