Advanced Internal Medicine PLLC
Organization Active NPI Internal Medicine Physician · Germantown, TN
NPI 1932428802 · NPPES record last updated May 18, 2010
Key facts
- NPI
- 1932428802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVANCED INTERNAL MEDICINE PLLC
- Practice address
- 9891 Legends Dr
Germantown, TN 38139-6978 - Phone
- (901) 212-1680
- NPI assigned
- May 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Linda Oraedu, M.D.
- Title
- Member
- Phone
- (901) 212-1680
Practitioners 2
-
Linda Ijeoma Oraedu, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101020000126 | TN | Part B Supplier - Clinic/Group Practice | 6800089152 |
Receives reassigned benefits from 1 practitioner Practice locations: Germantown, TN; Memphis, TN |
National Provider Directory
Locations
1251 Wesley Dr
Ste 107
Memphis, TN 38116
Phone (901) 212-1680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
9891 Legends Dr
Germantown, TN 38139-6978
Mailing address
PO Box 383074
Germantown, TN 38183-3074
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All providers in Germantown, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.