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MEMPHIS PSYCHIATRIC AND ADDICTION CLINIC PC NPI 1235187949


NPI Information

NPI: 1235187949
Provider Name: MEMPHIS PSYCHIATRIC AND ADDICTION CLINIC, PC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
8356 SILVERWIND DR
MEMPHIS, TN
ZIP 38125
Phone: (901) 273-2368
Get Directions

MEMPHIS PSYCHIATRIC AND ADDICTION CLINIC, PC is an addiction medicine psychiatry neurology in Memphis, TN. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine MEMPHIS PSYCHIATRIC AND ADDICTION CLINIC, PC NPI is 1235187949. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8356 SILVERWIND DR
MEMPHIS, TN
ZIP 38125-767
Phone: (901) 273-2368
Fax: (901) 273-2351

The provider's authorized official is Radwan R Khuri .
The authorized official title is Owner/president and has the following contact phone number (901) 273-2368.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/8/2011.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineYes

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
13708136MEDICARE PINTENNESSEE
23708136MEDICAIDTENNESSEE

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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