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NPI Code Detail

MEDICARE: KENAN ARNAUTOVIC MD

MEDICARE: KENAN ARNAUTOVIC MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician36870TN
2207T00000XNeurological Surgery Physician19591MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134118789
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENAN ARNAUTOVIC MD
Provider Business Mailing Address
First Line : 6325 HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2300
Country : US
Telephone Number : 901-522-7700
Fax Number : 901-522-2550
Provider Business Practice Location Address
First Line : 6325 HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2300
Country : US
Telephone Number : 901-522-7700
Fax Number : 901-522-2600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 04/03/2024

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Directions to “ KENAN ARNAUTOVIC MD” Practice Location

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