Healthcare Provider Details

I. General information

NPI: 1841378874
Provider Name (Legal Business Name): LAAMBDA HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6025 WALNUT GROVE RD SUITE 311
MEMPHIS TN
38120-2131
US

IV. Provider business mailing address

PO BOX 172327
MEMPHIS TN
38187-2327
US

V. Phone/Fax

Practice location:
  • Phone: 901-767-1100
  • Fax: 901-761-9703
Mailing address:
  • Phone: 901-767-1100
  • Fax: 901-761-9703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAMAL J MOHAN
Title or Position: OWNER
Credential: M.D.
Phone: 901-767-1100