Healthcare Provider Details

I. General information

NPI: 1821860354
Provider Name (Legal Business Name): OSMAN CENGIZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2023
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 KIMBROUGH RD
GERMANTOWN TN
38138-2405
US

IV. Provider business mailing address

1432 KIMBROUGH RD
GERMANTOWN TN
38138-2405
US

V. Phone/Fax

Practice location:
  • Phone: 901-767-4499
  • Fax: 901-767-5071
Mailing address:
  • Phone: 901-767-4499
  • Fax: 901-767-5071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number73362
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number326436
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: