Individual
DR. PHILLIP THOMAS ZENI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6126 POPLAR AVE, MEMPHIS, TN 38119-4710
(901) 779-5000
(901) 248-7275
Mailing address
6126 POPLAR AVE, MEMPHIS, TN 38119-4710
(901) 779-5000
(901) 248-7275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31507
TN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
31507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121444
—
MS
05
—
135185001
—
AR
05
—
204797500
—
MO
01
—
300103741
MEDICARE RR
TN
01
—
3141910
BCBS
TN
05
—
3846470
—
TN
01
—
98364
BCBS
AR
01
—
P000687866
MEDICARE RR
MS
Enumeration date
08/19/2006
Last updated
05/04/2019
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