Individual
AVRAHM COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6296 MAISON PRIVEE CV, MEMPHIS, TN 38120-4221
(901) 751-5404
(901) 757-9065
Mailing address
PO BOX 1329, SUITE 906, PARIS, TN 38242-1329
(901) 751-5404
(901) 757-9065
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-05-0238-C
OH
207RC0000X
Cardiovascular Disease Physician
Primary
MD41457
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128625
ANTHEM
OH
05
—
0601398
—
OH
01
—
110023951
MEDICARE RAILROADERS
OH
Enumeration date
07/19/2005
Last updated
03/02/2017
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