Organization
DEEPIKA R PULUSANI, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPIKA R PULISANI MD (OWNER)
(901) 767-0493
Entity
Organization
Contact information
Practice address
6005 PARK AVE, SUITE 511, MEMPHIS, TN 38119-5202
(901) 767-0493
(901) 767-0414
Mailing address
6005 PARK AVE, SUITE 511, MEMPHIS, TN 38119-5202
(901) 767-0493
(901) 767-0414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD028857
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306937438
NPI
TN
05
—
3808281
—
TN
Enumeration date
10/29/2007
Last updated
10/29/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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