Organization
SOFIA KHANDEKAR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA F. EDMISTON (ADMINISTRATOR)
(901) 396-3061
Entity
Organization
Contact information
Practice address
1251 WESLEY DR, SUITE 100, MEMPHIS, TN 38116-6442
(901) 396-3061
(901) 396-7841
Mailing address
1251 WESLEY DR, SUITE 100, MEMPHIS, TN 38116-6442
(901) 396-3061
(901) 396-7841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD010326
TN
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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