Ajay Dalal, MD
Internal Medicine, Cardiovascular Disease in Germantown, TN. Individual provider (NPI-1).
NPI number1770583239
StatusActive
Last updated in NPPESApr 4, 2025
Details
- NPI
- 1770583239
- Entity type
- Individual (NPI-1)
- Name
- Ajay Dalal
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2005
- Certification date
- Apr 4, 2025
- Last updated
- Apr 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 36866 | TN | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | E-5634 | AR | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 18205 | MS |
Practice location
7460 Wolf River BoulevardGermantown, TN 38138
Phone 901-763-0200 · Fax 901-761-4002
Mailing address
1211 Union Ave Ste 330Memphis, TN 38104-6655
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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