Provider Demographics
NPI:1518923242
Name:LEW, DUKHEE BETTY (MD)
Entity Type:Individual
Prefix:DR
First Name:DUKHEE
Middle Name:BETTY
Last Name:LEW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:D.
Other - Middle Name:BETTY
Other - Last Name:LEW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:51 N DUNLAP ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-4625
Mailing Address - Country:US
Mailing Address - Phone:901-448-7642
Mailing Address - Fax:901-448-8015
Practice Address - Street 1:51 N DUNLAP ST
Practice Address - Street 2:SUITE 400
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4625
Practice Address - Country:US
Practice Address - Phone:901-448-7642
Practice Address - Fax:901-448-8015
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN172122080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3022498Medicaid
TN3022498Medicaid
3022490Medicare ID - Type Unspecified