Provider Demographics
NPI:1366234619
Name:CORDIAL HEALTH TN PC
Entity type:Organization
Organization Name:CORDIAL HEALTH TN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:MEHDI
Authorized Official - Last Name:KAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-667-7924
Mailing Address - Street 1:1910 MADISON AVE STE 2340
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-2620
Mailing Address - Country:US
Mailing Address - Phone:347-667-7924
Mailing Address - Fax:332-262-2396
Practice Address - Street 1:1910 MADISON AVENUE
Practice Address - Street 2:STE 2340
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2620
Practice Address - Country:US
Practice Address - Phone:347-667-7924
Practice Address - Fax:332-262-2396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty