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Individual

VAMSEE KRISHNA MUPPARAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 WESLEY DR, MEMPHIS, TN 38116
(901) 395-2618
(901) 385-3261
Mailing address
P O 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
4301108430
MI
207R00000X
Internal Medicine Physician
Primary
57670
TN
208M00000X
Hospitalist Physician
57670
TN

Other

Enumeration date
07/06/2015
Last updated
08/14/2018
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