Individual
MRS. PALLAVI V RAWTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 MADISON AVE, SUITE 704, MEMPHIS, TN 38103-3403
(901) 527-6556
(901) 525-5441
Mailing address
910 MADISON AVE, SUITE 704, MEMPHIS, TN 38103-3403
(901) 527-6556
(901) 525-5441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000010815
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044953
BLUE SHIELD PROVIDER #
TN
01
—
116425
UNISON HEALTH PLAN PROV#
TN
Enumeration date
03/07/2007
Last updated
07/09/2007
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