Individual
AJAY DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7460 WOLF RIVER BOULEVARD, GERMANTOWN, TN 38138
(901) 763-0200
(901) 761-4002
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
18205
MS
207RC0000X
Cardiovascular Disease Physician
Primary
36866
TN
207RC0000X
Cardiovascular Disease Physician
E-5634
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124888
—
MS
05
—
149021001
—
AR
05
—
3879360
—
TN
01
—
4270109
BCBS
TN
Enumeration date
07/27/2005
Last updated
04/04/2025
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