Doctor Name: | KASHIF A LATIF |
NPI Number: | 1902913692 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD0000026995 |
Business Practice Address: | 3025 Kate Bond Rd Bartlett, TN - 381334004 |
Business Phone Number: | 9013840065 |
Business Fax Number: | 9012661165 |
Mailing Address: | Po Box 1000, Dept 913 MEMPHIS |
State: | TN |
Postal Code: | 381480001 |
Phone Number: | 9012610700 |
Fax Number: | 9012610701 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD0000026995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |