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RALEIGH CORDOVA MEDICAL GROUP P.C. NPI 1821198813


NPI Information

NPI: 1821198813
Provider Name: RALEIGH CORDOVA MEDICAL GROUP, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3809 COVINGTON PIKE
MEMPHIS, TN
ZIP 38135
Phone: (901) 386-1625
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RALEIGH CORDOVA MEDICAL GROUP, P.C. is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RALEIGH CORDOVA MEDICAL GROUP, P.C. NPI is 1821198813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3809 COVINGTON PIKE
MEMPHIS, TN
ZIP 38135-209
Phone: (901) 386-1625
Fax: (901) 377-8986

The provider's authorized official is James Sikes .
The authorized official title is President and has the following contact phone number (901) 386-1625.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 9/4/2008.


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
1174400000XSpecialistYes

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
13722170MEDICARE 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: 11/14/2023

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