Individual
DR. GAURAV KISTANGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 210, MEMPHIS, TN 38120-2353
(901) 761-3900
(901) 578-2538
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
28425
MS
207RG0100X
Gastroenterology Physician
Primary
61685
TN
Other
Enumeration date
04/28/2008
Last updated
01/29/2021
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