Dougan, Max R.

Dougan, Max R. is an individual health care provider with primary practice located at 3000 Getwell Rd Delta Medical Center, Memphis TN 38118-2205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dougan, Max R. can be contacted via phone (901) 369-8560.

Contact Information

Primary practice address
3000 Getwell Rd Delta Medical Center Memphis TN 38118-2205
Phone: (901) 369-8560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E3994 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD013506 Tennessee
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD013506 Tennessee

Profile Details

NPI number 1679614861
LBN Legal business name Dougan, Max R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated May 18th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679614861 NPPES
Tennessee MEDICAID 3006364

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