Individual
KISHORE KUMAR ARCOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6005 PARK AVE, SUITE 225B, MEMPHIS, TN 38119-5202
(901) 767-6765
(901) 767-9639
Mailing address
PO BOX 2153 DEPT 51051, BIRMINGHAM, AL 35287-9306
(901) 767-6765
(901) 767-9639
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35705
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725618
—
TN
01
—
4086928
BLUE SHIELD
TN
Enumeration date
03/08/2006
Last updated
09/12/2018
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