Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 33868 | TN |
NPI | 1003872078 |
---|---|
Provider Name | Dr. Karl Weber |
First Address | Memphis, TN 38103-2807 |
Second Address | Memphis, TN 38103-3409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 02/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3854116 | (05) | TN |
C32673 | (02) |