Bob-Manuel, Tamunoinemi Disrael
Bob-Manuel, Tamunoinemi Disrael is an individual health care provider with primary practice located at 8060 Wolf River Blvd , Germantown TN 38138-1727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Bob-Manuel, Tamunoinemi Disrael can be contacted via phone (901) 271-1000.Contact Information
Primary practice address
8060 Wolf River Blvd
Germantown TN 38138-1727
Phone: (901) 271-1000
Fax: (901) 271-4187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 64950 | Tennessee |
Profile Details
| NPI number | 1366838856 |
|---|---|
| LBN Legal business name | Bob-Manuel, Tamunoinemi Disrael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2015 |
| Last updated | Aug 8th, 2022 - about 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366838856 | NPPES |
| Tennessee | Other | 64950 | TN LICENSE |
| Tennessee | MEDICAID | Q073784 | TN LICENSE |
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