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Individual

DR. BHUVANESHWARI JAGADESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
853 JEFFERSON AVENUE #201 SUITE E-201, MEMPHIS, TN 38163-2227
(901) 448-4750
Mailing address
853 JEFFERSON AVE SUITE E-201, MEMPHIS, TN 38163-2227
(901) 448-4750

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
BE
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
06/18/2015
Last updated
07/30/2021
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