Individual
RAED E IMSEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6027 WALNUT GROVE RD STE 312, MEMPHIS, TN 38120-2128
(901) 484-3173
(901) 754-8058
Mailing address
PO BOX 38773, GERMANTOWN, TN 38183-0773
(901) 484-3173
(901) 754-8058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36729
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36729
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06207312
—
MS
05
—
150205001
—
AR
05
—
209200807
—
MO
01
—
2344289
UHC
TN
05
—
3880287
—
TN
01
—
4281641
BCBS
TN
01
—
7596403
AETNA
—
Enumeration date
06/21/2006
Last updated
08/07/2023
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