Healthcare Provider Details

I. General information

NPI: 1629450127
Provider Name (Legal Business Name): SULTAN SINGH CHHINA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6019 WALNUT GROVE RD
MEMPHIS TN
38120-2113
US

IV. Provider business mailing address

2120 EXETER RD STE 250
GERMANTOWN TN
38138-3931
US

V. Phone/Fax

Practice location:
  • Phone: 901-226-0732
  • Fax: 901-226-1456
Mailing address:
  • Phone: 901-767-5864
  • Fax: 901-767-6591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125066149
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number74200
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-11589
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: