| Am Diabetes Centers Of America Plc | |
|
6401 Poplar Ave Ste 604 Memphis TN 38119-4808 | |
| (901) 753-3322 | |
| (901) 753-3323 |
| Full Name | Am Diabetes Centers Of America Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6401 Poplar Ave Ste 604, Memphis, Tennessee |
| Authorized Official Name and Position | Kashif Latif (SOLE OWNER/AUTHORIZED OFFICIAL/ M.D) |
| Authorized Official Contact | 9017533322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Am Diabetes Centers Of America Plc 6401 Poplar Ave Ste 604 Memphis TN 38119-4808 Ph: (901) 753-3322 | Am Diabetes Centers Of America Plc 6401 Poplar Ave Ste 604 Memphis TN 38119-4808 Ph: (901) 753-3322 |
| NPI Number | 1467163543 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 2567827793 |
|---|---|
| Medicare Enrollment ID | O20230424000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467163543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Kashif A Latif |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902913692 PECOS PAC ID: 8820982531 Enrollment ID: I20040212000556 |
| Provider Name | Umer Farooq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780612481 PECOS PAC ID: 6507810074 Enrollment ID: I20080711000401 |
| Provider Name | Sarah Ann V Pulliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588025761 PECOS PAC ID: 7911205398 Enrollment ID: I20160419000704 |
| Provider Name | Daniel S Murrell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477964039 PECOS PAC ID: 6305156373 Enrollment ID: I20210205000154 |
| Provider Name | Hannah Bethany White |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487311791 PECOS PAC ID: 3476943457 Enrollment ID: I20211206002363 |
| Provider Name | Katherine Donovan Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629727664 PECOS PAC ID: 0941697361 Enrollment ID: I20220503001196 |
| Provider Name | Ashlyn Hall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518654565 PECOS PAC ID: 8224495593 Enrollment ID: I20230531002579 |
| Provider Name | Tameka Michelle Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508518796 PECOS PAC ID: 3779940978 Enrollment ID: I20230602001541 |
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