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Organization
MEMPHIS PSYCHIATRY, PLLC
Active
Organization
MEMPHIS PSYCHIATRY, PLLC
Active
Other names
Memphis Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UTHAPPA THAMMAIAH MUKATIRA PHD (OWNER)
(901) 277-9494
Entity
Organization
Contact information
Practice address
1088 ROGERS RD, CORDOVA, TN 38018-8546
(901) 277-9494
Mailing address
1088 ROGERS RD, CORDOVA, TN 38018-8546
(901) 277-9494
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
05/31/2024
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