Healthcare Provider Details

I. General information

NPI: 1366471260
Provider Name (Legal Business Name): NORMAN I HECHING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HUMPHREYS BLVD
MEMPHIS TN
38120-2146
US

IV. Provider business mailing address

100 N HUMPHREYS BLVD
MEMPHIS TN
38120-2146
US

V. Phone/Fax

Practice location:
  • Phone: 901-322-9080
  • Fax: 901-322-9097
Mailing address:
  • Phone: 901-322-9080
  • Fax: 901-322-9097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number19539
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number71338
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number32237
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: