Organization
MEMPHIS INTERNISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOOD ALI MD (OWNER, CEO)
(901) 362-8671
Entity
Organization
Contact information
Practice address
3025 KATE BOND RD, BARTLETT, TN 38133-4004
(901) 362-8671
Mailing address
3294 POPLAR AVE SUITE 100, MEMPHIS, TN 38111-4649
(901) 362-8671
(901) 458-4896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
09/27/2006
Last updated
03/17/2018
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