Healthcare Provider Details

I. General information

NPI: 1982935904
Provider Name (Legal Business Name): BENGAL HOSPITALIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 NEW COVINGTON PIKE
MEMPHIS TN
38127
US

IV. Provider business mailing address

3347 BLUEMONT DR
MEMPHIS TN
38134-8414
US

V. Phone/Fax

Practice location:
  • Phone: 901-516-5623
  • Fax: 901-516-5772
Mailing address:
  • Phone: 901-384-6192
  • Fax: 901-516-5772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number282NOOOOX
License Number StateTN

VIII. Authorized Official

Name: MR. DARL VIC BELL
Title or Position: INTERNAL MEDICINE DOCTOR
Credential:
Phone: 901-516-5623