Individual
EMMANUEL ILOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 NEW COVINGTON PIKE STE 130, MEMPHIS, TN 38128-2595
(901) 388-0404
(901) 388-0484
Mailing address
3950 NEW COVINGTON PIKE STE 130, MEMPHIS, TN 38128-2595
(901) 388-0404
(901) 388-0484
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38934
TN
207R00000X
Internal Medicine Physician
Primary
038934
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898246
—
TN
05
—
3898249
—
TN
01
—
4114553
BCBS
—
01
—
4114557
BCBS
—
Enumeration date
07/04/2006
Last updated
01/17/2011
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