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FAMILY DOCTORS-DOCTORES DE FAMILIA PLC NPI 1407807654


NPI Information

NPI: 1407807654
Provider Name: FAMILY DOCTORS-DOCTORES DE FAMILIA, PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3860 NEW COVINGTON PIKE
SUITE 101
MEMPHIS, TN
ZIP 38128
Phone: (901) 377-6805
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FAMILY DOCTORS-DOCTORES DE FAMILIA, PLC 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. FAMILY DOCTORS-DOCTORES DE FAMILIA, PLC NPI is 1407807654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3860 NEW COVINGTON PIKE
SUITE 101
MEMPHIS, TN
ZIP 38128-506
Phone: (901) 377-6805
Fax: (901) 377-6806

The provider's authorized official is Vijay Mattewada .
The authorized official title is Co-owner and has the following contact phone number (901) 377-6805.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/24/2007.


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
1207Q00000XFamily MedicineMD0000040121TENNESSEEYes

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
1G72303MEDICARE UPINTENNESSEE
2H61027MEDICARE UPINTENNESSEE
33731181MEDICAIDTENNESSEE
43731181MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

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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