Healthcare Provider Details

I. General information

NPI: 1750147294
Provider Name (Legal Business Name): CARE MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2986 KATE BOND RD
BARTLETT TN
38133-4003
US

IV. Provider business mailing address

PO BOX 381105
GERMANTOWN TN
38183-1105
US

V. Phone/Fax

Practice location:
  • Phone: 901-844-1431
  • Fax: 901-761-4145
Mailing address:
  • Phone: 901-844-1431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHAITANYA ARE
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 901-844-1431