Individual provider · Type 1 NPI

Jack P. Bandura, MD

Cardiovascular Disease Physician · Memphis, TN

NPI number 1174628010 Active

Practice location

5959 Park Ave
Memphis, TN 38119-5200

Call (901) 765-2057 Map

Fax (901) 765-2077

Mailing address

PO Box 1000
Memphis, TN 38148-0001

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X9908 (TN)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1174628010

Jack P. Bandura, MD's National Provider Identifier is 1174628010, issued on Sep 14, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.