Individual
SREENATH SHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3066
TN
363A00000X
Physician Assistant
PA-1230
AR
363A00000X
Physician Assistant
PA00355
MS
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008224
—
MS
05
—
328685795
—
AR
05
—
Q024943
—
TN
Enumeration date
07/08/2016
Last updated
07/15/2026
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