Organization
MEMPHIS CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALYA KUSHNIR (ASSISTANT DIRECTOR)
(901) 763-0446
Entity
Organization
Contact information
Practice address
8000 WOLF RIVER BLVD, SUITE 100, GERMANTOWN, TN 38138-1727
(901) 763-0446
(901) 763-0042
Mailing address
8000 WOLF RIVER BLVD, SUITE 100, GERMANTOWN, TN 38138-1727
(901) 763-0446
(901) 763-0042
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5187
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124838
BCBS OF TN
TN
01
—
5B207
BC OF AR
AR
Enumeration date
04/11/2007
Last updated
08/22/2020
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