Organization
THE LUNG CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY RATNAKANT MD (OWNER)
(901) 753-8361
Entity
Organization
Contact information
Practice address
6019 WALNUT GROVE RD., MEMPHIS, TN 38120-0000
(901) 753-8361
(901) 756-8541
Mailing address
PO BOX 440107, NASHVILLE, TN 37244-0107
(901) 753-8361
(901) 756-8541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39269
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39269
TN
207RP1001X
Pulmonary Disease Physician
39269
TN
Other
Enumeration date
10/24/2012
Last updated
07/23/2013
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