MEDICARE: CARDIOVASCULAR PHYSICIANS 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	207RI0011X	Interventional Cardiology Physician		TN
2	207RI0011X	Interventional Cardiology Physician		TN

General Provider Information

NPI Number	:	1659377216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR PHYSICIANS OF MEMPHIS

Provider Business Mailing Address
First Line	:	PO BOX 5134
Second Line	:	STE 100
City	:	MEMPHIS
State	:	TN
Zip	:	38101
Country	:	US
Telephone Number	:	901-756-5565
Fax Number	:	901-756-5564

Provider Business Practice Location Address
First Line	:	4901 RALEIGH COMMON DRIVE
Second Line	:	SUITE 100
City	:	MEMPHIS
State	:	TN
Zip	:	38128
Country	:	US
Telephone Number	:	901-371-9040
Fax Number	:	901-371-9258

Authorized Official
Title or Position	:	MD/PRESIDENT
Name	:	JOSEPH SETH WEINSTEIN
Credential	:	MD
Telephone Number	:	901-371-9040

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/21/2022

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