Organization
RIDGE LAKE ANESTHESIA
Active
Organization
RIDGE LAKE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MOKHTARI M.D. (ANESTHESIOLOGIST)
(901) 685-6150
Entity
Organization
Contact information
Practice address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-6150
(901) 685-6454
Mailing address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-6150
(901) 685-6454
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000027884
TN
Other
Enumeration date
04/18/2007
Last updated
11/15/2010
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