Individual
TEJAS PULISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1932 NILES CORTLAND RD NE STE X, WARREN, OH 44484-1055
(330) 306-5371
(330) 306-5311
Mailing address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.146465
OH
2085R0202X
Diagnostic Radiology Physician
D0093301
MD
Other
Enumeration date
05/03/2017
Last updated
10/12/2022
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