| Memphis Multi Specialty Associates,llc | |
|
3960 Knight Arnold Rd Ste 108 Memphis TN 38118-3001 | |
| (901) 369-6000 | |
| (901) 369-6000 |
| Full Name | Memphis Multi Specialty Associates,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3960 Knight Arnold Rd Ste 108, Memphis, Tennessee |
| Authorized Official Name and Position | Imran Mirza (OWNER) |
| Authorized Official Contact | 9013849920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Multi Specialty Associates,llc 7865 Educators Ln Suite 300 Memphis TN 38133-8191 Ph: (901) 384-9920 | Memphis Multi Specialty Associates,llc 3960 Knight Arnold Rd Ste 108 Memphis TN 38118-3001 Ph: (901) 369-6000 |
| NPI Number | 1669628467 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 5395052443 |
|---|---|
| Medicare Enrollment ID | O20150922001542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669628467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35471 (Tennessee) | Primary |
| Provider Name | Imran Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679599922 PECOS PAC ID: 7416081419 Enrollment ID: I20100812000620 |
| Provider Name | Mordecia D Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629413091 PECOS PAC ID: 5496992612 Enrollment ID: I20130507000688 |
| Provider Name | Lauren Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023427952 PECOS PAC ID: 5193027746 Enrollment ID: I20171122001569 |
| Provider Name | Elizabeth Janine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225542723 PECOS PAC ID: 6709127145 Enrollment ID: I20190424002761 |
| Provider Name | Kayla S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922611854 PECOS PAC ID: 3870905300 Enrollment ID: I20201207002601 |
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