Individual
VAISHNAVI SRIVENKATA TANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 WESLEY DR, MEMPHIS, TN 38116-6426
(901) 516-5741
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71291
TN
208M00000X
Hospitalist Physician
71291
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
07/08/2024
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