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Organization
VASCULAR INSTITUTE MS SURGERY CENTER LLC
Active
Organization
VASCULAR INSTITUTE MS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRATEEK GUPTA MD (CO-OWNER)
(901) 390-2930
Entity
Organization
Contact information
Practice address
200 DECK STONE DR, BATESVILLE, MS 38606-1097
(901) 390-2930
Mailing address
6409 N QUAIL HOLLOW RD, MEMPHIS, TN 38120-1414
(901) 390-2930
(901) 390-2940
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
12/04/2025
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