Provider Demographics
NPI:1114974086
Name:ARINZE, FESTUS N (MD)
Entity Type:Individual
Prefix:DR
First Name:FESTUS
Middle Name:N
Last Name:ARINZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-3034
Mailing Address - Country:US
Mailing Address - Phone:731-784-2442
Mailing Address - Fax:731-784-1000
Practice Address - Street 1:705 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343-3034
Practice Address - Country:US
Practice Address - Phone:731-784-2442
Practice Address - Fax:731-784-1000
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD36710207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3328792Medicaid
TN3328792Medicare ID - Type Unspecified
TN3328792Medicaid