Individual
MR. SANDEEP VASISHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
116 BEAVER VALLEY CV S, CORDOVA, TN 38018-7724
(901) 759-1617
(800) 781-4548
Mailing address
116 BEAVER VALLEY CV S, CORDOVA, TN 38018-7724
(901) 759-1617
(800) 781-4548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT0000001341
TN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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