Individual
DAVID C PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-9718
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
20763
MS
207RH0003X
Hematology & Oncology Physician
Primary
44677
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06208752
—
MS
05
—
1513379
—
TN
05
—
1679529473
—
MO
05
—
177720001
—
AR
01
—
P00744518
RR MEDICARE
TN
Enumeration date
05/25/2006
Last updated
05/02/2018
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