Provider Demographics
NPI:1710014345
Name:BLOOD & MARROW TRANSPLANT CENTER
Entity Type:Organization
Organization Name:BLOOD & MARROW TRANSPLANT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FURHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YUNUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-722-0622
Mailing Address - Street 1:1331 UNION AVE
Mailing Address - Street 2:10TH FLOOR
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3513
Mailing Address - Country:US
Mailing Address - Phone:901-722-0622
Mailing Address - Fax:901-722-0452
Practice Address - Street 1:1331 UNION AVE
Practice Address - Street 2:10TH FLOOR
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3513
Practice Address - Country:US
Practice Address - Phone:901-722-0622
Practice Address - Fax:901-722-0452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3711381Medicare ID - Type Unspecified