Individual
SANJAY RATNAKANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 SOUTHCREST CIR, STE 212, SOUTHAVEN, MS 38671-6721
(662) 349-0488
(662) 349-5974
Mailing address
6025 WALNUT GROVE, SUITE 508, MEMPHIS, TN 38120
(901) 767-5864
(901) 767-6591
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
39269
TN
207RP1001X
Pulmonary Disease Physician
18616
MS
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
18616
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04758830
—
MS
05
—
3327638
—
TN
Enumeration date
06/21/2005
Last updated
07/13/2010
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