Healthcare Provider Details

I. General information

NPI: 1538800453
Provider Name (Legal Business Name): ZUBASH KHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7691 POPLAR AVE
GERMANTOWN TN
38138-3904
US

IV. Provider business mailing address

3324 LIVING STONE DR E APT 305
MEMPHIS TN
38119-2551
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-1290
  • Fax: 901-516-1220
Mailing address:
  • Phone: 901-422-1681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number73247
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number73247
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: