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Organization

ENDOSCOPY CENTER OF THE MID-SOUTH, LLC

Active
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Organization

ENDOSCOPY CENTER OF THE MID-SOUTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TARIQ KHAN MD (PHYSICIAN)
(901) 369-8509
Entity
Organization

Contact information

Practice address
3960 KNIGHT ARNOLD RD, SUITE 117, MEMPHIS, TN 38118-3035
(901) 369-8509
(901) 369-8466
Mailing address
3960 KNIGHT ARNOLD RD, SUITE 117, MEMPHIS, TN 38118-3035
(901) 369-8509
(901) 369-8466

Taxonomy

Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3288955
TN
Enumeration date
01/10/2007
Last updated
09/18/2007
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