Provider Demographics
NPI:1255563128
Name:PEREZ, CARMEN ANA (MD PHD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:ANA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:564 1ST AVE APT 23E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6494
Mailing Address - Country:US
Mailing Address - Phone:615-944-7284
Mailing Address - Fax:
Practice Address - Street 1:262 DANNY THOMAS PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-3678
Practice Address - Country:US
Practice Address - Phone:888-226-4343
Practice Address - Fax:901-595-3842
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN687312085R0001X
NY2585892085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology