Basic Information
| Provider Information | |||||||||
| NPI: | 1932540788 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEMPHIS PRIMARY CARE SPECIALISTS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3960 KNIGHT ARNOLD RD STE 102 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381183001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013849920 | ||||||||
| FaxNumber: | 9013698618 | ||||||||
| Practice Location | |||||||||
| Address1: | 3960 KNIGHT ARNOLD RD STE 102 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381183001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013696008 | ||||||||
| FaxNumber: | 9013698618 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2013 | ||||||||
| LastUpdateDate: | 05/01/2020 | ||||||||
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| AuthorizedOfficialLastName: | QURESHI | ||||||||
| AuthorizedOfficialFirstName: | SHOAIB | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9013849920 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 05/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | TN | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.