Individual
WILLIAM VAN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6005 PARK AVE, SUITE 803, MEMPHIS, TN 38119-5202
(901) 683-0642
(901) 881-6011
Mailing address
6005 PARK AVE, SUITE 803, MEMPHIS, TN 38119-5202
(901) 683-0642
(901) 881-6011
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34970
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1940206
UNITED HEALTHCARE #
TN
01
—
4037497001
CIGNA PROVIDER #
TN
01
—
4083525
BLUE CROSS PROVIDER #
TN
01
—
7703236
AETNA PROVIDER #
TN
Enumeration date
10/16/2006
Last updated
07/08/2007
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