Provider Demographics
NPI:1073674875
Name:PERCHIK, JOEL EVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:EVAN
Last Name:PERCHIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7600 WOLF RIVER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1788
Mailing Address - Country:US
Mailing Address - Phone:901-747-1007
Mailing Address - Fax:901-531-7199
Practice Address - Street 1:7600 WOLF RIVER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-1788
Practice Address - Country:US
Practice Address - Phone:901-747-1007
Practice Address - Fax:901-531-7199
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207572085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3060894Medicare ID - Type Unspecified