Medipharm Inc.

NPI #1033406111 in Memphis, Tennessee

Provider Information

NPI Number: 1033406111
Entity Type: Organization
Organization Name: Medipharm Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Jul 8, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 295 S BELLEVUE BLVD
Address 2: SUITE # 3
City: Memphis
State: Tennessee
ZIP Code: 38104-7517
Phone: (901) 746-9631

Authorized Official

Name: NYANDAY R. OTI
Title: ADMINISTRATOR/CEO
Phone: (901) 746-9631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X
Internal Medicine	207R00000X	Primary

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