| Henry Nubung Enyenihi, MD | |
|
11121 Highway 70, Suite 101, Arlington, TN 38002-9230 | |
| (901) 867-0211 | |
| (901) 867-0759 |
| Full Name | Henry Nubung Enyenihi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 11121 Highway 70, Arlington, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992708002 | NPI | - | NPPES |
| 4126386 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
| 3842358 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29373 (Tennessee) | Primary |
| 208M00000X | Hospitalist | A50281 (California) | Secondary |
| 208M00000X | Hospitalist | 29373 (Tennessee) | Secondary |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Henry County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073765475 PECOS PAC ID: 6002898665 Enrollment ID: O20081029000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Henry Nubung Enyenihi, MD 11121 Highway 70 Ste 101, Arlington, TN 38002-9230 Ph: (901) 867-0211 | Henry Nubung Enyenihi, MD 11121 Highway 70, Suite 101, Arlington, TN 38002-9230 Ph: (901) 867-0211 |
Dr. Mohammed Munir Motiwala, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 11293 Memphis Arlington Rd, Arlington, TN 38002 Phone: 901-745-7219 Fax: 901-745-7262 |