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Individual

ANITHA GONDHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 636-5335
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33412
MS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
33412
MS

Other

Enumeration date
04/14/2019
Last updated
06/19/2024
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