Provider Demographics
NPI:1538362751
Name:SIDNEY H KRIGER MD PC
Entity type:Organization
Organization Name:SIDNEY H KRIGER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-683-5500
Mailing Address - Street 1:6401 POPLAR AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4823
Mailing Address - Country:US
Mailing Address - Phone:901-683-5500
Mailing Address - Fax:901-683-2900
Practice Address - Street 1:6401 POPLAR AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4823
Practice Address - Country:US
Practice Address - Phone:901-683-5500
Practice Address - Fax:901-683-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA99053Medicare UPIN
TN3026697Medicare ID - Type Unspecified
TN3720118Medicare ID - Type UnspecifiedGROUP #
TNH19682Medicare UPIN