Individual
DR. STEVE BIKO OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
SPECIALTY PHYSICIAN GROUP, 1211 UNION AV SUITE 700, MEMPHIS, TN 38104-6638
(901) 516-7000
Mailing address
1211 UNION AVE, MEMPHIS, TN 38104-6638
(901) 516-0520
(901) 516-0528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000057391
TN
207RH0000X
Hematology (Internal Medicine) Physician
MD0000057391
TN
207RX0202X
Medical Oncology Physician
Primary
MD0000057391
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2015
Last updated
07/15/2021
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