Individual
SHIRISHA KAMIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-2980
(662) 772-2960
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25781
MS
207R00000X
Internal Medicine Physician
59154
TN
208M00000X
Hospitalist Physician
E-13324
AR
Other
Enumeration date
07/17/2014
Last updated
09/10/2020
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