Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | 270803 | NY |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 57972 | TN |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD446356 | PA |
NPI | 1003162637 |
---|---|
Provider Name | Arvind Reddy Ankireddypalli |
First Address | Memphis, TN 38148-0001 |
Second Address | Memphis, TN 38104-3555 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2012 |
Last Update Date | 22/10/2018 |