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Individual

ALBERT NDZENGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103
(901) 545-7100
Mailing address
2032 WELLESLEY PINE CV, GERMANTOWN, TN 38138

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24459
MS
207P00000X
Emergency Medicine Physician
266212
NY
207R00000X
Internal Medicine Physician
266212
NY
207R00000X
Internal Medicine Physician
52436
TN
207RN0300X
Nephrology Physician
Primary
52436
TN
208M00000X
Hospitalist Physician
266212
NY
208M00000X
Hospitalist Physician
52436
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09223372
MS
05
1851692420
MO
05
Q022658
TN
Enumeration date
11/12/2010
Last updated
03/30/2023
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