Kulubya, Patrick S

Kulubya, Patrick S is an individual health care provider with primary practice located at 6490 Mount Moriah Road Ext Suite 200, Memphis TN 38115-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kulubya, Patrick S can be contacted via phone (901) 565-0244.

Contact Information

Primary practice address
6490 Mount Moriah Road Ext Suite 200 Memphis TN 38115-3729
Phone: (901) 565-0244
Fax: (901) 565-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 37342 Tennessee
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E3707 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 18029 Mississippi

Profile Details

NPI number 1720057714
LBN Legal business name Kulubya, Patrick S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 12th, 2010 - about 14 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 1720057714 NPPES
Tennessee Other 4076411 BLUE CROSS BLUE SHIELD
Tennessee Other 5M560 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 07624752 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3889682 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 150991001 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 29502 BLUE CROSS BLUE SHIELD

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