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MRS. AYYAGARI INDIRADEVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6911 PARKWOOD DR, OLIVE BRANCH, MS 38654-2111
(901) 461-1162
Mailing address
PO BOX 341065, MEMPHIS, TN 38184-1065
(901) 385-2342
(901) 382-0140

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AI11119
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00015928
MS
Enumeration date
08/31/2006
Last updated
07/08/2007
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