Provider Demographics
NPI:1841186087
Name:BOWDEN, DIA TSEDAY
Entity type:Individual
Prefix:
First Name:DIA
Middle Name:TSEDAY
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 S RIVERSIDE DR APT 1509
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-1743
Mailing Address - Country:US
Mailing Address - Phone:901-485-3201
Mailing Address - Fax:
Practice Address - Street 1:717 S RIVERSIDE DR APT 1509
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-1743
Practice Address - Country:US
Practice Address - Phone:901-485-3201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program