Healthcare Provider Details

I. General information

NPI: 1518923242
Provider Name (Legal Business Name): DUKHEE BETTY LEW MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: D. BETTY LEW M.D.

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 N DUNLAP ST SUITE 400
MEMPHIS TN
38105-4625
US

IV. Provider business mailing address

51 N DUNLAP ST SUITE 400
MEMPHIS TN
38105-4625
US

V. Phone/Fax

Practice location:
  • Phone: 901-448-7642
  • Fax: 901-448-8015
Mailing address:
  • Phone: 901-448-7642
  • Fax: 901-448-8015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number17212
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: