Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 24213 | TN |
NPI | 1477556041 |
---|---|
Provider Name | Dr. Karen S Slobod |
First Address | Memphis, TN 38105-2794 |
Second Address | Memphis, TN 38105-2794 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00118116 | (05) | MS |
0527911 | (05) | IA |
1429791 | (05) | LA |
2006484 | (05) | OH |
3808887 | (05) | TN |
64926546 | (05) | KY |
6738257 | (05) | VA |
G51410 | (02) | TN |