Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 56569 | TN |
N | 2080P0202X | Pediatric Cardiologist | 304299-01 | NY |
N | 2080P0202X | Pediatric Cardiologist | 56569 | TN |
NPI | 1083033757 |
---|---|
Provider Name | Neil Chandrakant Tailor |
First Address | Memphis, TN 38105-4607 |
Second Address | Memphis, TN 38105-4625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 21/09/2021 |