Individual
YONGXIN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8000 WOLF RIVER BLVD., STE. 200, GERMANTOWN, TN 38138
(901) 747-3630
Mailing address
2020 EXETER RD, GERMANTOWN, TN 38138-3945
(901) 260-8379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24337
MS
174400000X
Specialist
Primary
54324
TN
207ZP0101X
Anatomic Pathology Physician
201800847
NC
207ZP0101X
Anatomic Pathology Physician
52043
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
201800847
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
52043
SC
390200000X
Student in an Organized Health Care Education/Training Program
2011014988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I223891
MEDICARE PTAN
TN
01
—
513603YMVL
MEDICARE PTAN
MS
Enumeration date
06/24/2011
Last updated
05/30/2018
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