Individual
DR. RAVI K MADASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 681-9895
(901) 377-3633
Mailing address
PO BOX 40921, MEMPHIS, TN 38174-0921
(901) 681-9895
(901) 377-3633
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36543
TN
207R00000X
Internal Medicine Physician
Primary
36543
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3876048
—
TN
Enumeration date
08/02/2005
Last updated
02/19/2008
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