Individual
DR. GEORGE B BIKHAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PLACE, MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35688
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125142
—
MS
05
—
0030325
—
NJ
05
—
0078574
—
MT
05
—
009977030
—
AL
05
—
0554261
—
IA
05
—
100249678-00
—
NE
05
—
104823400
—
MI
05
—
11001577
—
CO
05
—
1112135
—
LA
05
—
145681001
—
AR
05
—
181546610A
—
GA
05
—
200361500A
—
IN
05
—
209197706
—
MO
05
—
3899656
—
TN
05
—
422400000
—
ME
05
—
64045651
—
KY
05
—
715469
—
AZ
05
—
7612967
—
NC
Enumeration date
05/23/2005
Last updated
04/05/2011
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