# UT METHODIST PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073915823
- **Authorized official:** SHIRIN MAZUMDER (PHYSICIAN)
- **Authorized official phone:** (312) 493-9280

## Contact information

- **Practice address:** 1325 EASTMORELAND AVE, SUITE 460, MEMPHIS, TN 38104-3519
- **Practice address phone:** (312) 493-9280
- **Mailing address:** 1325 EASTMORELAND AVE, SUITE 460, MEMPHIS, TN 38104-3519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 47374 | TN | Yes |

## Other

- **Enumeration date:** 09/24/2014
- **Last updated:** 09/24/2014
