Individual
ANITA DEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 OAKLEAF OFFICE LN STE 102, MEMPHIS, TN 38117-4863
(901) 369-4999
Mailing address
PO BOX 172125, MEMPHIS, TN 38187-2125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34900
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3372959
MEDICAID
TN
01
—
4137895
BLUE CROSS
TN
Enumeration date
03/21/2007
Last updated
05/31/2021
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