Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Nicholas Pernik, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083358717

Dr. Mark Nicholas Pernik, MD is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

920 Madison Ave Ste 477
Memphis, TN 38103-3438
Phone: (901) 448-5364
Fax: (901) 448-6182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083358717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address920 Madison Ave Ste 477, Memphis, TN 38103-3438

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