Khamapirad, Tawan Sunny

Khamapirad, Tawan Sunny is an individual health care provider with primary practice located at 6005 Park Ave Ste 624B, Memphis TN 38119-5221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Khamapirad, Tawan Sunny can be contacted via phone (901) 682-1100.

Contact Information

Primary practice address
6005 Park Ave Ste 624B Memphis TN 38119-5221
Phone: (901) 682-1100
Fax: (901) 682-6915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 37817 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 18267 Mississippi
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X E3846 Arkansas
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 18267 Mississippi
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X E3846 Arkansas
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 37817 Tennessee

Profile Details

NPI number 1689679441
LBN Legal business name Khamapirad, Tawan Sunny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 26th, 2017 - about 7 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 1689679441 NPPES
Tennessee Other 4067262 BLUE CROSS
Tennessee MEDICAID 04635763 BLUE CROSS
Tennessee MEDICAID 3886759 BLUE CROSS

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