Provider Demographics
NPI:1740555952
Name:ZELIG, ARI YISRAEL (MD)
Entity type:Individual
Prefix:
First Name:ARI
Middle Name:YISRAEL
Last Name:ZELIG
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 1:2155 WEST ST
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3856
Mailing Address - Country:US
Mailing Address - Phone:901-623-3323
Mailing Address - Fax:901-623-3324
Practice Address - Street 1:7676 AIRWAYS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-5304
Practice Address - Country:US
Practice Address - Phone:901-623-3323
Practice Address - Fax:901-623-3324
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN63741207KA0200X
MS29167207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy