Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 18181 | MS |
Y | 207RH0003X | Hematology & Oncology | 37030 | TN |
NPI | 1003819269 |
---|---|
Provider Name | Dr. Aleksandar Jankov |
First Address | Memphis, TN 38120-9446 |
Second Address | Memphis, TN 38120-2112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G93076 | (02) | TN |