Individual
ORAN LEE BERKENSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6263 POPLAR AVE STE 1052, MEMPHIS, TN 38119-4736
(901) 761-6157
(901) 761-4145
Mailing address
PO BOX 2044, DEPT 7800, MEMPHIS, TN 38101-2044
(901) 761-6157
(901) 761-4145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD24724
TN
208M00000X
Hospitalist Physician
Primary
MD0000024724
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3703214
—
TN
Enumeration date
07/15/2006
Last updated
03/17/2018
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