KHAWAJA MUHAMMAD MUDDASSIR (NPI# 1003043043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003043043 |
| Entity Type | Individual |
| Full Name | KHAWAJA MUHAMMAD MUDDASSIR |
| Credential | MD |
| Practice Address |
1325 Eastmoreland Ave Suite 370 Memphis TN 38104-3519 |
| Mailing Address |
Po Box 1000 Dept 457 Memphis TN 38148-0001 |
| Practice Telephone | 9017587888 |
| Practice Fax Number | 9013875153 |
| Mailing Telephone | 9017587888 |
| Mailing Fax Number | 9013875153 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 52180 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A108371 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
52180 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
52180 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1325 EASTMORELAND AVE SUITE 370 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255526 | Wendy L Dusenbury | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2005-06-16 |
| 1861935132 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 1325 Eastmoreland Ave, Suite 435, Memphis, TN 38104-3519 | 2016-11-18 |
| 1881149029 | Melody Jackson | Chiropractor | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2016-08-17 |
| 1356793327 | Meredith Alexis Rone | Nurse Practitioner | 1325 Eastmoreland Ave, 335, Memphis, TN 38104-3519 | 2016-07-01 |
| 1073915823 | Ut Methodist Physicians | General Acute Care Hospital | 1325 Eastmoreland Ave, Suite 460, Memphis, TN 38104-3519 | 2014-09-24 |
| 1740533595 | Mallory J Hamsher | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 550, Memphis, TN 38104-3519 | 2012-10-17 |
| 1538418389 | Shekinah Jaquay Andrews | Nurse Practitioner | 1325 Eastmoreland Ave, Suite 220, Memphis, TN 38104-3519 | 2012-09-06 |
| 1750649646 | Rebecca L Reasons | Dietitian, Registered | 1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519 | 2012-04-27 |
| 1548550320 | Tracrw LLC H | Clinic/Center | 1325 Eastmoreland Ave, Memphis, TN 38104-3519 | 2011-04-13 |
| 1821397902 | Thomas M Middleton Jr. | Counselor | 1325 Eastmoreland Ave, Ste 500, Memphis, TN 38104-3519 | 2011-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154506210 | Sleep and Pulmounary Speacialists Pllc | Internal Medicine | Regional One Extended Care Ltac, 890 Madison Ave, Memphis, TN 38103 | 2008-01-08 |
| 1689665903 | Joseph A Blythe | Internal Medicine | 3557 S Galloway Dr, Memphis, TN 38111-6816 | 2005-11-04 |
| 1649275322 | James W Adams II | Internal Medicine | 6005 Park Ave Ste 1004b, Memphis, TN 38119-5225 | 2005-06-17 |
| 1083980031 | Cristobal Fernando Risquez Cordovez | Internal Medicine | 1325 Eastmoreland Ave Ste 370, Memphis, TN 38104 | 2012-03-23 |
| 1609193093 | Julia H Barton | Internal Medicine | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | 2010-04-26 |
| 1144543281 | Blythe Medical Services | Internal Medicine | 3557 S Galloway Dr, Memphis, TN 38111-6816 | 2010-03-03 |
| 1336384585 | Amik Sodhi | Internal Medicine | 956 Court Ave, Suite G212a, Memphis, TN 38163 | 2008-12-02 |
| 1720093859 | Bellevue Pulmonary Associates PC | Internal Medicine | 1211 Union Ave, Suite 120, Memphis, TN 38104-6638 | 2006-07-29 |
| 1053340166 | Memphis Lung Physicians, P.C. | Internal Medicine | 6025 Walnut Grove Rd, Suite 508, Memphis, TN 38120-2131 | 2006-07-01 |
| 1114984747 | John P Griffin | Internal Medicine | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-27 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.