Individual
VAISHNAVI REDDY PULUSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6401 POPLAR AVE STE 190, MEMPHIS, TN 38119
(901) 888-8770
Mailing address
6401 POPLAR AVE STE 190, MEMPHIS, TN 38119-4810
(901) 888-8770
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
54064
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06977094
—
MS
05
—
221435001
—
AR
05
—
Q030625
—
TN
Enumeration date
04/23/2012
Last updated
10/16/2018
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