MEDICARE: ENDOCRINOLOGY ASSOCIATES OF MEMPHIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number	:	1467302380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOCRINOLOGY ASSOCIATES OF MEMPHIS

Provider Business Mailing Address
First Line	:	6027 WALNUT GROVE RD STE 307
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6027 WALNUT GROVE RD STE 307
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2128
Country	:	US
Telephone Number	:	901-681-0346
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAHER GHAWJI
Credential	:	MD
Telephone Number	:	901-830-4473

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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