Organization
WILLIAM VAN BINGHAM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM VAN BINGHAM M.D. (OWNER)
(901) 683-0642
Entity
Organization
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
—
01
—
3862008
MEDICARE INDIVIDUAL
—
01
—
4037497001
CIGNA
—
01
—
4083525
BLUE CROSS BLUE SHIELD
TN
01
—
7703236
AETNA
—
Enumeration date
02/29/2008
Last updated
04/20/2008
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