Individual
DAVID A DENEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120-4023
(901) 641-3000
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 641-3000
(901) 259-1698
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
29319
TN
207X00000X
Orthopaedic Surgery Physician
E-7565
AR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
29319
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000038768
TLC
TN
05
—
008800509
—
MS
05
—
110318002
—
AR
05
—
152563001
—
AR
05
—
3371161
—
TN
05
—
3821832
—
TN
01
—
4081511
BLUE CROSS
TN
01
—
5488613
AETNA
TN
01
—
6063481
CIGNA
TN
01
—
620819926
BCBS
MS
01
—
620819926
AETNA
TN
05
—
7187860
—
MS
01
—
P00164074
RAILROAD MEDICARE
TN
Enumeration date
05/23/2005
Last updated
03/17/2021
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