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Organization
UT METHODIST PHYSICIANS
Active
Organization
UT METHODIST PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRIN MAZUMDER (PHYSICIAN)
(312) 493-9280
Entity
Organization
Contact information
Practice address
1325 EASTMORELAND AVE, SUITE 460, MEMPHIS, TN 38104-3519
(312) 493-9280
Mailing address
1325 EASTMORELAND AVE, SUITE 460, MEMPHIS, TN 38104-3519
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
47374
TN
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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