Koplon, Michael D.

Koplon, Michael D. is an individual health care provider with primary practice located at 1265 Union Ave , Memphis TN 38104-3415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Koplon, Michael D. can be contacted via phone (901) 516-2362.

Contact Information

Primary practice address
1265 Union Ave Memphis TN 38104-3415
Phone: (901) 516-2362
Fax: (901) 516-8254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 34018 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD34018 Tennessee

Profile Details

NPI number 1376546150
LBN Legal business name Koplon, Michael D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 1st, 2018 - about 6 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 1376546150 NPPES
Tennessee Other 3149825 BLUE CROSS BLUE SHIELD
Tennessee Other 1985645 BLUE CROSS BLUE SHIELD
Tennessee Other 7683058 BLUE CROSS BLUE SHIELD
Tennessee Other 8840602005 BLUE CROSS BLUE SHIELD

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