Individual
DR. SHEENA TERESA MUKKADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
262 DANNY THOMAS PL, MAIL STOP 320, MEMPHIS, TN 38105-3678
(901) 595-5638
Mailing address
262 DANNY THOMAS PL, MAIL STOP 320, MEMPHIS, TN 38105-3678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A120847
CA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
52079
TN
Other
Enumeration date
08/31/2012
Last updated
03/28/2023
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