| Endocrine, Diabetes & Obesity Center Pc | |
|
80 Humphreys Center Dr Ste 106 Memphis TN 38120-2352 | |
| (901) 455-7440 | |
| (901) 455-2935 |
| Full Name | Endocrine, Diabetes & Obesity Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 80 Humphreys Center Dr Ste 106, Memphis, Tennessee |
| Authorized Official Name and Position | Rabia Rehman (PRESIDENT) |
| Authorized Official Contact | 9014557440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine, Diabetes & Obesity Center Pc 80 Humphreys Center Dr Ste 106 Memphis TN 38120-2352 Ph: (901) 455-7440 | Endocrine, Diabetes & Obesity Center Pc 80 Humphreys Center Dr Ste 106 Memphis TN 38120-2352 Ph: (901) 455-7440 |
| NPI Number | 1386248334 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 05/18/2022 |
| Medicare PECOS PAC ID | 8123430949 |
|---|---|
| Medicare Enrollment ID | O20201218000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386248334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Rabia A Rehman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083872832 PECOS PAC ID: 1052558863 Enrollment ID: I20131209000373 |
| Provider Name | Wynne Duong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518626092 PECOS PAC ID: 3476945163 Enrollment ID: I20220107001750 |
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