IndividualActive
Benjamin Waller, MD
NPI 1013974062 · Interventional Cardiology Physician · Memphis, TN
Provider details
- NPI number
- 1013974062
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 19846 (TN)
Practice location
51 N Dunlap St Fl 2
Memphis, TN 38105
Phone: (901) 287-7337
Fax: (901) 287-4646
Mailing address
848 Adams Ave
Memphis, TN 38103-2816
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2018-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.