Brady, Michael B

Brady, Michael B is an individual health care provider with primary practice located at 5959 Park Ave Radiology Department, Memphis TN 38119-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brady, Michael B 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 MD015910 Tennessee

Profile Details

NPI number 1336186980
LBN Legal business name Brady, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 1st, 2011 - 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 1336186980 NPPES
Arkansas MEDICAID 113551001
Arkansas MEDICAID 202652509
Arkansas MEDICAID 3035139
Arkansas MEDICAID 00116062

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