Individual
DR. TAMUNOINEMI DISRAEL BOB-MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
64950
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64950
TN LICENSE
TN
05
—
Q073784
—
TN
Enumeration date
04/10/2015
Last updated
08/08/2022
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