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Organization
OPTIM258
Active
Organization
OPTIM258
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE NAIK GADIPARTHI M.D. (CO-OWNER/ DIRECTOR)
(901) 361-4303
Entity
Organization
Contact information
Practice address
9205 ENCLAVE GREEN LANE, EAST GERMANTOWN, TN 38139
(901) 262-1476
Mailing address
9205 ENCLAVE GREEN LANE E., GERMANTOWN, TN 38139
(901) 262-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/18/2026
Last updated
08/20/2026
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