Provider Demographics
NPI:1972500767
Name:SCHLESINGER, VICTOR ADLER (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:ADLER
Last Name:SCHLESINGER
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 1:6005 PARK AVE
Mailing Address - Street 2:SUITE 908
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-5202
Mailing Address - Country:US
Mailing Address - Phone:901-761-2170
Mailing Address - Fax:901-765-3166
Practice Address - Street 1:6005 PARK AVE
Practice Address - Street 2:SUITE 908
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-5202
Practice Address - Country:US
Practice Address - Phone:901-761-2170
Practice Address - Fax:901-765-3166
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD4725174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3704745Medicaid
TN3704745Medicare PIN
TN3704745Medicaid
TNB02212Medicare UPIN