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SKAZ HOLDING PLLC NPI 1669671251


NPI Information

NPI: 1669671251
Provider Name: SKAZ HOLDING, PLLC

Doing Business As: AM DIABETES & ENDOCRINOLOGY CENTER

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 44D2283660

Address:
2996 KATE BOND RD
SUITE 413
BARTLETT, TN
ZIP 38133
Phone: (901) 384-0065
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SKAZ HOLDING, PLLC is a specialist in Bartlett, 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. SKAZ HOLDING, PLLC NPI is 1669671251. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Am Diabetes & Endocrinology Center.

The provider's business location address is:

2996 KATE BOND RD
SUITE 413
BARTLETT, TN
ZIP 38133-030
Phone: (901) 384-0065
Fax: (901) 266-1165

The provider's authorized official is Kashif Latif .
The authorized official title is Owner and has the following contact phone number (901) 384-0065.

The CLIA number assigned to this NPI record is 44D2283660 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 1/6/2012.


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

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13723254MEDICARE PINTENNESSEE

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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