Provider Demographics
NPI:1821403932
Name:UNIVERSITY OF TENNESSE HEALTH SCIENCE CENTER
Entity Type:Organization
Organization Name:UNIVERSITY OF TENNESSE HEALTH SCIENCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYN RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMA BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-538-5872
Mailing Address - Street 1:70 S 4TH ST APT 132
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-5246
Mailing Address - Country:US
Mailing Address - Phone:713-538-5872
Mailing Address - Fax:
Practice Address - Street 1:910 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3403
Practice Address - Country:US
Practice Address - Phone:713-538-5872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital