# OPTIM258

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

## Provider details

- **NPI number:** 1346155827
- **Authorized official:** DR. ANNIE NAIK GADIPARTHI M.D. (CO-OWNER/ DIRECTOR)
- **Authorized official phone:** (901) 361-4303

## Contact information

- **Practice address:** 9205 ENCLAVE GREEN LANE, EAST GERMANTOWN, TN 38139
- **Practice address phone:** (901) 262-1476
- **Mailing address:** 9205 ENCLAVE GREEN LANE E., GERMANTOWN, TN 38139
- **Mailing address phone:** (901) 262-1476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/20/2026
