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OBGYN CONSULTANTS OF MEMPHIS NPI 1952749483


NPI Information

NPI: 1952749483
Provider Name: OBGYN CONSULTANTS OF MEMPHIS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 44D1017288

Address:
6025 WALNUT GROVE
SUITE 316
MEMPHIS, TN
ZIP 38120
Phone: (901) 274-9717
Get Directions

OBGYN CONSULTANTS OF MEMPHIS is an obstetrics gynecology in Memphis, TN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBGYN CONSULTANTS OF MEMPHIS NPI is 1952749483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6025 WALNUT GROVE
SUITE 316
MEMPHIS, TN
ZIP 38120
Phone: (901) 274-9717
Fax: (901) 684-2008

The provider's authorized official is Kingsley Ogonna Oraedu .
The authorized official title is President and has the following contact phone number (901) 274-9717.

The CLIA number assigned to this NPI record is 44D1017288 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2013 and was last updated on 11/30/2015.


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
1207V00000XObstetrics & GynecologyMD0000031582TENNESSEEYes

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
1Q008198MEDICAIDTENNESSEE
2H00804MEDICARE UPINTENNESSEE
33842008MEDICAIDTENNESSEE

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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