NPIMap

Organization Active NPI

Symed NC, LLC

  • Geriatric Psychiatry Physician
  • Memphis, TN
National Provider Identifier
1619149739
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
200201597 Issued in NC
Legal business name
SYMED NC, LLC
Practice address
3150 Lenox Park Blvd
Suite 214
Memphis, TN 38115-4299
Phone
(901) 273-2350
Fax
(901) 273-2351
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Radwan R Khuri, MD
Title
Owner
Phone
(901) 273-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X 200201597 NC Primary

Addresses

Primary practice location

3150 Lenox Park Blvd
Suite 214
Memphis, TN 38115-4299

Mailing address

3150 Lenox Park Blvd
Suite 214
Memphis, TN 38115-4299
Phone (901) 273-2350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1619149739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 LENOX PARK BLVD",
            "address_2": "SUITE 214",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154299",
            "telephone_number": "901-273-2350",
            "fax_number": "901-273-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 LENOX PARK BLVD",
            "address_2": "SUITE 214",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154299",
            "telephone_number": "901-273-2350",
            "fax_number": "901-273-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMED NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KHURI",
        "authorized_official_first_name": "RADWAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-273-2360",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "200201597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2008; 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.