Individual
IHTESHAM SHAFIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92O MADISON AVENUE, MEMPHIS, TN 38163-0001
(276) 269-8148
Mailing address
920 MADISON AVE STE 531920, MEMPHIS, TN 38103-3438
(901) 448-2510
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0000
TN
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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