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Individual

SHOWKAT A. HAJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 545-8535
(901) 545-6454
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-8336

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
45619
TN
207RC0000X
Cardiovascular Disease Physician
9700264
NC
207RI0011X
Interventional Cardiology Physician
Primary
45619
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801099775
NC
Enumeration date
06/07/2007
Last updated
02/11/2015
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