Individual
DR. ANTON SURATH NISETUS DIAS PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 390-2930
(901) 390-2940
Mailing address
1375 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 390-2930
(901) 390-2940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45820
TN
2086S0129X
Vascular Surgery Physician
21384
MS
2086S0129X
Vascular Surgery Physician
Primary
45820
TN
2086S0129X
Vascular Surgery Physician
E12898
AR
Other
Enumeration date
04/14/2008
Last updated
01/22/2025
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