Individual
MRS. DEEPIKA REDDY PULUSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6005 PARK AVE, SUITE 511, MEMPHIS, TN 38119-5202
(901) 767-0402
(901) 767-0414
Mailing address
6005 PARK AVE, SUITE 511, MEMPHIS, TN 38119-5202
(901) 767-0402
(901) 767-0414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD28857
TN
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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