Anderson, Keith G

Anderson, Keith G is an individual health care provider with primary practice located at 7460 Wolf River Boulevard , Germantown TN 38138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Anderson, Keith G can be contacted via phone (901) 763-0200.

Contact Information

Primary practice address
7460 Wolf River Boulevard Germantown TN 38138
Phone: (901) 763-0200
Fax: (901) 761-4002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16687 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 16687 Tennessee

Profile Details

NPI number 1770583049
LBN Legal business name Anderson, Keith G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 8th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770583049 NPPES
Mississippi MEDICAID 00116765
Mississippi Other P00854010
Mississippi MEDICAID 117803001
Mississippi MEDICAID 1519975
Mississippi Other 4270275

Popular Providers