Provider Demographics
NPI:1265424659
Name:PRZEPIORKA, DONNA (MD, PHD)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:PRZEPIORKA
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 UNION AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3513
Mailing Address - Country:US
Mailing Address - Phone:901-725-1785
Mailing Address - Fax:901-725-5264
Practice Address - Street 1:1331 UNION AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3513
Practice Address - Country:US
Practice Address - Phone:901-725-1785
Practice Address - Fax:901-725-5264
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36742207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5895032OtherAETNA
AR99455OtherBLUE CROSS BLUE SHIELD
MS00126931Medicaid
TN3875603Medicaid
TN135149OtherBETTER HEALTH TNCARE
2238019OtherCIGNA
TN2498OtherTLC TNCARE
TN4045830OtherBLUE CROSS BLUE SHIELD
B40527Medicare UPIN
TN3875603Medicare ID - Type Unspecified