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Individual

DR. ROBERT A KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
262 DANNY THOMAS PL # MS 515, 262 DANNY THOMAS PLACE, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL # MS 515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
18854
TN
2085R0202X
Diagnostic Radiology Physician
18854
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00123048
MS
05
0030741
NJ
05
009926165
AL
05
0566240
IA
05
100007760A
IN
05
100249677-00
NE
05
104677778
MI
05
114954001
AR
05
131025074A
GA
05
1687791
LA
05
200362220A
KS
05
202882213
MO
05
3497469
TN
05
422400000
ME
05
64792625
KY
05
7614322
NC
Enumeration date
05/23/2005
Last updated
05/04/2016
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