Individual
KHEM RAJ UPRETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103
(901) 287-5437
Mailing address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
67714
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Enumeration date
09/15/2017
Last updated
11/21/2023
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