Individual
MICHAEL D. KOPLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2362
(901) 516-8254
Mailing address
P O BOX 1000 DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD34018
TN
208M00000X
Hospitalist Physician
34018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1985645
UNITED HEALTHCARE
—
01
—
3149825
BLUE CROSS BLUE SHIELD
TN
01
—
7683058
AETNA
—
01
—
8840602005
CIGNA
—
Enumeration date
05/24/2005
Last updated
05/01/2018
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