Healthcare Provider Details

I. General information

NPI: 1659377216
Provider Name (Legal Business Name): CARDIOVASCULAR PHYSICIANS OF MEMPHIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 RALEIGH COMMON DRIVE SUITE 100
MEMPHIS TN
38128
US

IV. Provider business mailing address

PO BOX 5134 STE 100
MEMPHIS TN
38101
US

V. Phone/Fax

Practice location:
  • Phone: 901-371-9040
  • Fax: 901-371-9258
Mailing address:
  • Phone: 901-756-5565
  • Fax: 901-756-5564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number StateTN

VIII. Authorized Official

Name: JOSEPH SETH WEINSTEIN
Title or Position: MD/PRESIDENT
Credential: MD
Phone: 901-371-9040