Individual
RENGA I VASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8000 CENTERVIEW PKWY, SUITE 300, CORDOVA, TN 38018-4227
(901) 747-1111
Mailing address
8000 CENTERVIEW PKWY, SUITE 300, CORDOVA, TN 38018-4227
(901) 747-1111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15351
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3020723
—
TN
Enumeration date
05/12/2006
Last updated
02/01/2011
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