Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 2009012278 | MO |
Y | 2080P0203X | Pediatric Critical Care Doctor | 48293 | TN |
NPI | 1265651830 |
---|---|
Provider Name | Saad Ghafoor |
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 | 24/04/2007 |
Last Update Date | 27/10/2020 |