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NPI Code Detail

MEDICARE: DR. ROBERT A DUKE M.D.

MEDICARE: DR. ROBERT A DUKE M.D.
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
12085R0202XDiagnostic Radiology Physician0108146TN
22085R0202XDiagnostic Radiology Physician11838MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1108146OTHERNEBC OF TENNESSEE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649220120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT A DUKE M.D.
Provider Business Mailing Address
First Line : 965 RIDGE LAKE BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-9401
Country : US
Telephone Number : 901-227-4692
Fax Number :
Provider Business Practice Location Address
First Line : 140 BURKE CALHOUN CITY RD
Second Line :
City : CALHOUN CITY
State : MS
Zip : 38916-9690
Country : US
Telephone Number : 662-628-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 01/19/2024

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