Healthcare Provider Details

I. General information

NPI: 1144273558
Provider Name (Legal Business Name): MEMPHIS CARDIOLOGY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6005 PARK AVE SUITE 225 B
MEMPHIS TN
38119-5202
US

IV. Provider business mailing address

PO BOX 740209 DEPT 1051
ATLANTA GA
30374
US

V. Phone/Fax

Practice location:
  • Phone: 901-767-6765
  • Fax: 901-767-9639
Mailing address:
  • Phone: 901-767-6765
  • Fax: 901-767-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KISHORE K ARCOT
Title or Position: OWNER
Credential: M.D.
Phone: 901-767-6765