Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRA KEITH ELLIS, MD
ActiveIRA KEITH ELLIS, MD is a Addiction Medicine (Family Practice) healthcare provider located in MILAN, Tennessee. NPI 1922005388 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · MILAN, TN
Registration Details
- NPI Number
- 1922005388
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (21.119654685902 yrs)
- Last Updated
- Jan 10, 2024
- Licenses
-
38294 (TN)38294 (TN)
Practice Information
- Address
-
2084 W MAIN STMILAN, TN, 383583515Browse TN providers · Browse ZIP 38358
- Phone
- 6156736737
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
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.