Organization
PEDIATRIC RADIOLOGY
Active
Organization
PEDIATRIC RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA MALADY (BILLING)
(901) 737-3071
Entity
Organization
Contact information
Practice address
806 ESTATE PL, MEMPHIS, TN 38148-0001
(901) 737-3071
Mailing address
806 ESTATE PL, MEMPHIS, TN 38148-0001
(901) 737-3071
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MD6355
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000746
—
TN
Enumeration date
04/03/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up