Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 26350 | TN |
NPI | 1174526750 |
---|---|
Provider Name | Dr. Jeffrey E Rubnitz |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105-3678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 02/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00118004 | (05) | MS |
009914000 | (05) | AL |
0529115 | (05) | IA |
060506502 | (05) | TX |
100063680A | (05) | OK |
104692086 | (05) | MI |
132326001 | (05) | AR |
1533891 | (05) | LA |
2004459 | (05) | OH |
209750017 | (05) | MO |
274939 | (05) | OR |
3808832 | (05) | TN |
422400000 | (05) | ME |
542987 | (05) | AZ |
64926710 | (05) | KY |
6728928 | (05) | VA |
7611395 | (05) | NC |
F17340 | (02) | TN |
Q26350 | (05) | SC |