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Organization

VASISTA PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SATYANARAYANA RAJU PUSAPATI MD (AUTHORIZED OFFICIAL)
(814) 410-5696
Entity
Organization

Contact information

Practice address
1211 UNION AVE, MEMPHIS, TN 38104-6638
(901) 516-7000
Mailing address
PO BOX 38056, GERMANTOWN, TN 38183-0056
(814) 410-5696

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/06/2025
Last updated
08/06/2025
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