Deepika R Pulusani, Md, Pc in Memphis - Specialist

Deepika R Pulusani, Md, Pc - NPI 1073792818

Deepika R Pulusani, Md, Pc is a Specialist in Memphis, Tennessee. Deepika R Pulusani, Md, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Deepika R Pulusani, Md, Pc is 1073792818. The last update date is 2007-10-29.

Deepika R Pulusani, Md, Pc's current location address is 6005 Park Ave, Memphis, Tennessee. You can contact this provider via phone number 9017670493 and fax number 9017670414. The mailing address for Deepika R Pulusani, Md, Pc is 6005 Park Ave, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Deepika R Pulusani, Md, Pc
Address 6005 Park Ave, Memphis, Tennessee
Phone Number 9017670493
Fax Number 9017670414
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Pulisani R Deepika
Credentials MD
Telephone Number 9017670493

NPI Number Detail

NPI Number 1073792818
Provider Enumeration Date 2007-10-29
Last Updated Date 2007-10-29

Provider Mailing Address Detail

Address 6005 Park Ave
City Memphis
State Tennessee (TN)
Post Code 381195202
Phone Number 9017670493
Fax Number 9017670414

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD028857
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1306937438 TN NPI
3808281 TN --

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FAQs about Deepika R Pulusani, Md, Pc

What is the unique 10-digit identification code assigned to Deepika R Pulusani, Md, Pc by the Centers for Medicare & Medicaid Services?

The Deepika R Pulusani, Md, Pc has been issued the NPI (National Provider Identifier) 1073792818, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Deepika R Pulusani, Md, Pc is physically located?

The Deepika R Pulusani, Md, Pc is physically situated at the following address: 6005 Park Ave, Memphis, TN, 381195202.

What is Deepika R Pulusani, Md, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Deepika R Pulusani, Md, Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When was the Deepika R Pulusani, Md, Pc's 1073792818 issued?

The Deepika R Pulusani, Md, Pc's 1073792818 was issued on 2007-10-29.

As of what date were the Deepika R Pulusani, Md, Pc's details last updated?

The information pertaining to the Deepika R Pulusani, Md, Pc, including its address, specialty, and other details, was most recently updated on 2007-10-29.

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