Organization
PARK HIGHLAND MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA PRASAD M.D. (PHYSICIAN)
(901) 324-3984
Entity
Organization
Contact information
Practice address
3836 PARK AVE, MEMPHIS, TN 38111-6633
(901) 324-3984
Mailing address
PO BOX 17962, MEMPHIS, TN 38187-0962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/26/2007
Last updated
02/19/2009
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