Organization
RHEUMATOLOGY SPECIALTY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA N. GANGULI MD (MD/OWNER)
(901) 756-8633
Entity
Organization
Contact information
Practice address
7660 POPLAR PIKE, GERMANTOWN, TN 38138-5941
(901) 753-8633
Mailing address
7660 POPLAR PIKE, GERMANTOWN, TN 38138-5941
(901) 753-8633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43026
TN
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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