Individual
AMIN BANDEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 227-0497
(901) 227-0499
Mailing address
8990 GERMANTOWN RD EXTENDED, OLIVE BRANCH, MS 38654
(662) 893-1160
(662) 893-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14032
MS
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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