Organization
CRESCENT MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHSAN H KATHAWALA M.D. (PRESIDENT)
(901) 346-1800
Entity
Organization
Contact information
Practice address
1264 WESLEY DR, SUITE 501, MEMPHIS, TN 38116
(901) 346-1800
(901) 346-0043
Mailing address
1264 WESLEY DR, SUITE 501, MEMPHIS, TN 38116
(901) 346-1800
(901) 346-0043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000028245
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000115782
UNISON HEALTH PLAN
—
01
—
110235971
RAILROAD MEDICARE
—
05
—
140096001
—
AR
01
—
3027560
AETNA
TN
05
—
3804749
—
TN
01
—
4028944
BLUE CROSS BLUE SHEILD
TN
01
—
5009811
MEMPHIS MANAGED CARE
—
01
—
607266900
ACS
—
01
—
8394237
CIGNA
TN
Enumeration date
08/05/2007
Last updated
09/21/2007
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