| Memphis Infectious Diseases Consultants, Pllc | |
|
1331 Union Ave Ste 1008 Memphis TN 38104-7567 | |
| (901) 881-3554 | |
| (901) 620-5500 |
| Full Name | Memphis Infectious Diseases Consultants, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1331 Union Ave Ste 1008, Memphis, Tennessee |
| Authorized Official Name and Position | Vladimir Chachanidze (PARTNER) |
| Authorized Official Contact | 9018813554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Infectious Diseases Consultants, Pllc 1331 Union Ave Ste 1008 Memphis TN 38104-7567 Ph: (901) 881-3554 | Memphis Infectious Diseases Consultants, Pllc 1331 Union Ave Ste 1008 Memphis TN 38104-7567 Ph: (901) 881-3554 |
| NPI Number | 1962554840 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 4082641923 |
|---|---|
| Medicare Enrollment ID | O20050721000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962554840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Vladimir Chachanidze |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750327607 PECOS PAC ID: 1557360427 Enrollment ID: I20080717000570 |
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