Individual
DR. MANOJ MRINAL MAZUMDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
4380 HARDGREAVES LN, APT # 308, MEMPHIS, TN 38125-2496
(501) 749-1520
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47627
TN
207P00000X
Emergency Medicine Physician
E6321
AR
Other
Enumeration date
09/17/2008
Last updated
12/30/2011
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