Midtown Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIDTOWN CLINIC LLC

Practice address

1726 Poplar Ave
Memphis, TN 38104-6426

Phone

(901) 698-9958

Fax

(901) 698-9968

NPI assigned

Aug 1, 2023

Organization subpart

No

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

Authorized official

Name

Sanjeev Kumar, MD

Title

Owner/MD

Phone

(901) 698-9958

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1558043430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046426",
            "telephone_number": "901-698-9958",
            "fax_number": "901-698-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046426",
            "telephone_number": "901-698-9958",
            "fax_number": "901-698-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "901-698-9958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.