Organization
E MICHAEL AGAPOS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL MICHAEL AGAPOS M.D. (PHYSICIAN)
(901) 757-2345
Entity
Organization
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
(901) 761-4131
(901) 761-4145
Mailing address
PO BOX 231, MEMPHIS, TN 38101-0231
(901) 757-2345
(901) 757-9065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26642
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123392
—
MS
01
—
4069219
BC/BS PROV ID
TN
05
—
Q013104
—
TN
Enumeration date
06/17/2006
Last updated
04/22/2019
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