Individual
POONAM LATA GUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-1290
(901) 516-1220
Mailing address
P O BOX 1000 DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40207
TN
207R00000X
Internal Medicine Physician
MD432883
PA
208M00000X
Hospitalist Physician
40207
TN
208M00000X
Hospitalist Physician
MD432883
PA
Other
Enumeration date
01/10/2006
Last updated
12/18/2017
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