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Individual

MRS. ANJU MENDIRATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
117 N HICKORY AVE STE 200, COOKEVILLE, TN 38501-2424
(931) 646-0880
(866) 834-5618
Mailing address
117 N HICKORY AVE STE 200, COOKEVILLE, TN 38501-2424
(931) 646-0880
(866) 834-5618

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD40111
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1512941
TN
Enumeration date
01/25/2006
Last updated
08/11/2022
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