Healthcare Provider Details

I. General information

NPI: 1548889231
Provider Name (Legal Business Name): MENACHEM YEHUDA RIMLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 06/29/2023
Certification Date: 06/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 MADISON AVE STE 447
MEMPHIS TN
38163-3438
US

IV. Provider business mailing address

50 N DUNLAP ST FL 6
MEMPHIS TN
38103-2800
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6034
  • Fax: 901-287-5062
Mailing address:
  • Phone: 901-287-6034
  • Fax: 901-287-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: