Roberts, Larry K

Roberts, Larry K is an individual health care provider with primary practice located at 5959 Park Ave Radiology Department, Memphis TN 38119-5200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Roberts, Larry K can be contacted via phone (901) 765-3212.

Contact Information

Primary practice address
5959 Park Ave Radiology Department Memphis TN 38119-5200
Phone: (901) 765-3212
Fax: (901) 765-1727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD010296 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD010296 Tennessee

Profile Details

NPI number 1598703795
LBN Legal business name Roberts, Larry K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 18th, 2013 - about 11 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 1598703795 NPPES
Arkansas MEDICAID 107376001
Arkansas MEDICAID 202653804
Arkansas MEDICAID 3038310
Arkansas MEDICAID 00115911

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