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NPI Code Detail

MEDICARE: ERIKA AKIE NKETSIA-TABIRI MD

MEDICARE: ERIKA AKIE NKETSIA-TABIRI 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629763867
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA AKIE NKETSIA-TABIRI MD
Provider Business Mailing Address
First Line : 92O MADISON AVE STE 447
Second Line :
City : MEMPHIS
State : TN
Zip : 38163-0001
Country : US
Telephone Number : 901-287-6756
Fax Number :
Provider Business Practice Location Address
First Line : 92O MADISON AVE STE 447
Second Line :
City : MEMPHIS
State : TN
Zip : 38163-0001
Country : US
Telephone Number : 901-287-6756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2023
Last Update Date : 04/06/2026

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