OrganizationInterventional Nephrology Specialists PllcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2200 Union Ave, Memphis, TN 38104-4205(901) 482-3192PECOS EnrollmentBased on the most recent information from CMS, provider Interventional Nephrology Specialists Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679769434Provider TypeOrganizationFull NameInterventional Nephrology Specialists PllcSubpartNoEnumeration Date9/14/2007Last Updated11/10/2022Contact InformationPractice LocationPractice Address2200 Union Ave, Memphis, TN 38104-4205Phone(901) 482-3192Fax(901) 726-1132Mailing LocationMailing Address2200 Union Ave, Memphis, TN 38104-4205Phone(901) 482-3192Fax(901) 726-1132Authorized OfficialNameDavis, Omar Rashad (President)Phone(901) 726-1130Provider TaxonomiesCodeDescriptionLicenseCode207RN0300XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer