Gubin, David A

Gubin, David A is an individual health care provider with primary practice located at 6029 Walnut Grove Rd. Suite 300, Memphis TN 38120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gubin, David A can be contacted via phone (901) 767-8158.

Contact Information

Primary practice address
6029 Walnut Grove Rd. Suite 300 Memphis TN 38120
Phone: (901) 767-8158
Fax: (901) 767-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000026045 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X 119325 Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X 26045 Tennessee
Allopathic & Osteopathic Physicians / Urology 208800000X 22564 Mississippi

Profile Details

NPI number 1235164286
LBN Legal business name Gubin, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 25th, 2013 - about 13 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 1235164286 NPPES
Missouri MEDICAID 204679419

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