Individual
SRIRANGA V PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 765-3045
(901) 765-3046
Mailing address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 765-3045
(901) 765-3046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q0810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005053
—
TN
05
—
3823251
—
TN
Enumeration date
02/10/2006
Last updated
09/12/2023
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