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ENDOCRINE AND DIABETES CLINIC PLLC NPI 1467650432


NPI Information

NPI: 1467650432
Provider Name: ENDOCRINE AND DIABETES CLINIC PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 44D1072149

Address:
290 S WALNUT BEND RD
STE 1
CORDOVA, TN
ZIP 38018
Phone: (901) 266-1080
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ENDOCRINE AND DIABETES CLINIC PLLC is a specialist in Cordova, 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. ENDOCRINE AND DIABETES CLINIC PLLC NPI is 1467650432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 S WALNUT BEND RD
STE 1
CORDOVA, TN
ZIP 38018-280
Phone: (901) 266-1080
Fax: (901) 266-1158

The provider's authorized official is Mohammad N Qureshi .
The authorized official title is Owner and has the following contact phone number (901) 266-1080.

The CLIA number assigned to this NPI record is 44D1072149 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 10/10/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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: 5/5/2024

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