Koo, Selene Clarissa
Koo, Selene Clarissa is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Koo, Selene Clarissa can be contacted via phone (888) 226-4343.Contact Information
Primary practice address
262 Danny Thomas Pl
Memphis TN 38105-3678
Phone: (888) 226-4343
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 125059369 | Illinois |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 35.132164 | Ohio |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 62776 | Tennessee |
Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | 62776 | Tennessee |
Profile Details
NPI number | 1205122967 |
---|---|
LBN Legal business name | Koo, Selene Clarissa |
Credentials | MD, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2011 |
Last updated | May 14th, 2021 - about 4 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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