Individual
BHAVANA JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6005 PARK AVE STE 300B, MEMPHIS, TN 38119-5208
(901) 726-1056
(901) 729-3100
Mailing address
6005 PARK AVE STE 300B, MEMPHIS, TN 38119-5208
(901) 726-1056
(901) 729-3100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.151013
OH
208600000X
Surgery Physician
Primary
75374
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
03/06/2026
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