Individual provider Active NPI

Chichetaram Ruth Mamah, MBBS

  • Student in an Organized Health Care Education/Training Program
  • Memphis, TN
National Provider Identifier
1437905304
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
University of Tennessee, 920 Madison Avenue Suite 447
Memphis, TN 38163
Phone
(901) 448-5814
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

University of Tennessee, 920 Madison Avenue Suite 447
Memphis, TN 38163

Mailing address

7 St Andrews Close
Ipswich, SUFFOLK IP45SJ
GB

Other names 1

  • Dr. Chichetaram Ruth Otu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1437905304",
    "addresses": [
        {
            "country_code": "GB",
            "country_name": "Great Britain",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "7 ST ANDREWS CLOSE",
            "city": "IPSWICH",
            "state": "SUFFOLK",
            "postal_code": "IP45SJ"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TENNESSEE, 920 MADISON AVENUE SUITE 447",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38163",
            "telephone_number": "901-448-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMAH",
        "first_name": "CHICHETARAM",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHICHETARAM",
            "last_name": "OTU",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.