Organization Active NPI

Midsouth Intenal Medicine Associates, PC

  • Internal Medicine Physician
  • Collierville, TN
National Provider Identifier
1063764595
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41887 Issued in TN
Legal business name
MIDSOUTH INTENAL MEDICINE ASSOCIATES, PC
Practice address
208 Ivy Brook LN
Collierville, TN 38017-8791
Phone
(901) 692-0956
NPI assigned
Oct 8, 2012
Last updated
Oct 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kazi Zaman, M.D.
Title
Owner
Phone
(901) 692-0956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 41887 TN Primary

Addresses

Primary practice location

208 Ivy Brook LN
Collierville, TN 38017-8791

Mailing address

208 Ivy Brook LN
Collierville, TN 38017-8791
Phone (901) 692-0956

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1063764595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 IVY BROOK LN",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178791",
            "telephone_number": "901-692-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 IVY BROOK LN",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178791",
            "telephone_number": "901-692-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH INTENAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "ZAMAN",
        "authorized_official_first_name": "KAZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-692-0956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "41887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.