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Individual

DR. AJAY NARAYAN VENKATANARAYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4240 BETHEL RD STE 201, OLIVE BRANCH, MS 38654-8737
(901) 763-0200
(901) 761-4002
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
33209
MS
207RI0011X
Interventional Cardiology Physician
71645
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/10/2017
Last updated
07/03/2024
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