Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 23057 | OK |
Y | 207SG0201X | Clinical Genetics (M.D.) | 53824 | TN |
N | 2080P0207X | Pediatric Hematology-Oncologist | 53824 | TN |
NPI | 1194963967 |
---|---|
Provider Name | Dr. Chimene Kesserwan |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2009 |
Last Update Date | 15/11/2018 |