Organization
MIDSOUTH INTERNISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHUTOSH MISHRA MD (PRESIDENT)
(901) 537-1892
Entity
Organization
Contact information
Practice address
6025 WALNUT GROVE RD, SUITE 405, MEMPHIS, TN 38120-2131
(901) 537-1892
(901) 537-1898
Mailing address
PO BOX 1000, DEPT 282, MEMPHIS, TN 38148-0001
(901) 537-1892
(901) 537-1898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18404
MS
Other
Enumeration date
12/19/2006
Last updated
08/20/2013
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