Healthcare Provider Details
I. General information
NPI: 1720995582
Provider Name (Legal Business Name): MEDSTRIDE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1241 DAKOTA WAY SE
CLEVELAND TN
37312
US
IV. Provider business mailing address
1108 CENTENNIAL DR
CHATTANOOGA TN
37405-4269
US
V. Phone/Fax
- Phone: 423-777-5900
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAVEED
MEMON
Title or Position: OWNER
Credential: MD
Phone: 423-413-8848