Individual
HENRY JIVAN DALSANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 747-1000
(901) 747-1001
Mailing address
7600 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1788
(901) 747-1007
(901) 531-7199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20685
MS
2085R0202X
Diagnostic Radiology Physician
43597
TN
2085R0202X
Diagnostic Radiology Physician
E-10373
AR
2085R0204X
Vascular & Interventional Radiology Physician
20685
MS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
43597
TN
2085R0204X
Vascular & Interventional Radiology Physician
E-10373
AR
Other
Enumeration date
03/26/2009
Last updated
09/03/2024
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