Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 129 | TN |
N | 222Z00000X | Podiatrist | 129 | TN |
Y | 224P00000X | Prosthetist | 99 | TN |
NPI | 1477886398 |
---|---|
Provider Name | Mr. Ramesh Dubey |
First Address | Memphis, TN 38104-3520 |
Second Address | Paris, TN 38242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2009 |
Last Update Date | 09/08/2018 |