Individual
DR. EBENEZER AZUBUIKE NYENWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 EASTMORELAND AVE STE 510, MEMPHIS, TN 38104-7534
(901) 580-7070
(704) 270-6253
Mailing address
PO BOX 381604, GERMANTOWN, TN 38183-1604
(901) 580-7070
(704) 270-6925
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
42527
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03654763
—
MS
05
—
3000339
—
TN
01
—
6038807
BCBS
TN
Enumeration date
04/22/2007
Last updated
06/09/2021
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