Organization Active NPI

Skaz Holding, PLLC

  • Specialist
  • Bartlett, TN
National Provider Identifier
1669671251
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SKAZ HOLDING, PLLC
Doing business as
AM Diabetes & Endocrinology Center
Practice address
2996 Kate Bond Rd
Suite 413
Bartlett, TN 38133-4030
Phone
(901) 384-0065
Fax
(901) 266-1165
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Kashif Latif, MD
Title
Owner
Phone
(901) 384-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2996 Kate Bond Rd
Suite 413
Bartlett, TN 38133-4030

Mailing address

2996 Kate Bond Rd
Suite 413
Bartlett, TN 38133-4030
Phone (901) 384-0065

Other names 1

  • AM Diabetes & Endocrinology Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1669671251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD",
            "address_2": "SUITE 413",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334030",
            "telephone_number": "901-384-0065",
            "fax_number": "901-266-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD",
            "address_2": "SUITE 413",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334030",
            "telephone_number": "901-384-0065",
            "fax_number": "901-266-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAZ HOLDING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-384-0065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AM Diabetes & Endocrinology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.