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Individual

DR. AHSAN H KATHAWALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1264 WESLEY DR, SUITE 501, MEMPHIS, TN 38116-6400
(901) 346-1800
(901) 346-0043
Mailing address
PO BOX 383317, GERMANTOWN, TN 38183-3317
(901) 346-1800
(901) 346-0043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000028245
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000115782
UNISON HEALTH PLAN
05
0118459
MS
01
0441108
UNITED HEALTHCARE
01
3027560
AETNA
05
3804749
TN
01
4028944
BCBST
01
5009811
TLC FAMILY CARE
01
8394237
CIGNA
Enumeration date
05/12/2006
Last updated
07/08/2007
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