Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 39709 | TN |
NPI | 1144287863 |
---|---|
Provider Name | Dr. Ramasubbareddy Dhanireddy |
First Address | Memphis, TN 38105-5105 |
Second Address | Memphis, TN 38103-2807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 08/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003179455A | (05) | GA |
09151257 | (05) | MS |
1144287863 | (05) | MI |
1144287863 | (05) | MO |
140941001 | (05) | AR |
177903 | (05) | AL |
5440538 | (05) | TN |
C67178 | (02) |