Individual
SIMINDOKHT HAZRATI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5744 NANJACK CIR, MEMPHIS, TN 38115-2061
(901) 797-9711
(901) 797-9771
Mailing address
6384 WYNFREY PL, MEMPHIS, TN 38120-2647
(901) 268-3700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10418
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008115
BCBS
TN
05
—
3165672
—
TN
Enumeration date
04/25/2006
Last updated
07/08/2007
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