Healthcare Provider Details
I. General information
NPI: 1447388186
Provider Name (Legal Business Name): KARIMA TANEISHIA CAUSEY-MCKINLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/02/2007
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5339 ELVIS PRESLEY BLVD
MEMPHIS TN
38116-8243
US
IV. Provider business mailing address
PO BOX 746725
ATLANTA GA
30374-6725
US
V. Phone/Fax
- Phone: 901-504-7002
- Fax:
- Phone: 469-755-3730
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD 42334 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 42334 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: