Elefan, Darryl
Elefan, Darryl is an individual health care provider with primary practice located at 6490 Mount Moriah Road Ext Ste 200 , Memphis TN 38115-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Elefan, Darryl can be contacted via phone (304) 720-5000.Contact Information
Primary practice address
6490 Mount Moriah Road Ext Ste 200
Memphis TN 38115-3841
Phone: (304) 720-5000
Fax: (304) 720-5003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 57163 | Tennessee |
Profile Details
| NPI number | 1891927182 |
|---|---|
| LBN Legal business name | Elefan, Darryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2009 |
| Last updated | Mar 7th, 2023 - 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 | 1891927182 | NPPES |
| West Virginia | Other | 25668 | STATE LICENSE |
| West Virginia | MEDICAID | 3810027323 | STATE LICENSE |
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