Organization
AILEEN GAYOSO, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN GAYOSO MD (PRESIDENT)
(901) 569-0519
Entity
Organization
Contact information
Practice address
8756 GUMLEAF CV, GERMANTOWN, TN 38138-7358
(901) 569-0519
Mailing address
PO BOX 1000, DEPT 311, MEMPHIS, TN 38148-0001
(901) 569-0519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15680
MS
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110001590
—
MS
Enumeration date
02/01/2007
Last updated
04/17/2023
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