Individual
ANSHUL BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
1265 UNION AVE, 4 SHORB TOWER, MEMPHIS, TN 38104-3415
(901) 478-9183
(901) 478-8957
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59206
TN
207RN0300X
Nephrology Physician
Primary
59206
TN
208M00000X
Hospitalist Physician
59206
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407298813
TUFTS MEDICAL CENTER
MA
Enumeration date
07/26/2013
Last updated
01/16/2024
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