Individual
DENNISDHILAK LOURDUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2362
(901) 516-8254
Mailing address
PO BOX 1000, DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59512
TN
208M00000X
Hospitalist Physician
59512
TN
Other
Enumeration date
06/25/2014
Last updated
07/30/2019
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