Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSIE BOULOS, M.D.
ActiveDR. SUSIE BOULOS, M.D. is a Specialist healthcare provider located in MEMPHIS, Tennessee. NPI 1174533145 is currently active in the NPPES registry. Verify at CMS.
Specialist · MEMPHIS, TN
Registration Details
- NPI Number
- 1174533145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2006 (20.021655065017 yrs)
- Last Updated
- Jul 8, 2007
- License
-
27769 (TN)
Practice Information
- Address
-
1030 JEFFERSON AVEMEMPHIS, TN, 381042127Browse TN providers · Browse ZIP 38104
- Phone
- 9015238990
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| CATHY M CHAPMAN | M.D. | 1508869892 |
| DR. AUTRY JAMES PARKER JR. | M.D. | 1154326403 |
| DR. JERRY D BENITONE | M.D. | 1629073119 |
| DR. MICHAEL STUART BRONSTEIN | M.D. | 1871599316 |
| DR. JOHN R. HILL | M.D. | 1992701965 |
| DR. VICTOR ADLER SCHLESINGER | M.D. | 1972500767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.