Organization
METHODIST SPECIALTY PHYSICIAN, III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAWAR M SHAIKH M.D. (OWNER)
(901) 259-2000
Entity
Organization
Contact information
Practice address
1251 WESLEY DR, MEMPHIS, TN 38116-6425
(901) 259-2000
(901) 259-0955
Mailing address
1251 WESLEY DR, MEMPHIS, TN 38116-6425
(901) 259-2000
(901) 259-0955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3732685
—
TN
Enumeration date
05/26/2006
Last updated
07/21/2022
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