Individual
MRS. PRABHA SUDHEENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4299 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116
(901) 398-7518
(901) 398-3128
Mailing address
360 E EH CRUMP BLVD, MEMPHIS, TN 38126-5310
(901) 261-2000
(901) 946-9262
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
013382
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3189854
—
TN
Enumeration date
10/11/2006
Last updated
06/30/2016
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