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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