Individual
RAMAKANT MAHADEO MULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 PARR AVE, SUITE B, DYERSBURG, TN 38024-3151
(731) 286-1510
(731) 286-2662
Mailing address
1575 PARR AVE, SUITE B, DYERSBURG, TN 38024-3151
(731) 286-1510
(731) 286-2662
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
109397
MO
207RN0300X
Nephrology Physician
MD017125
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000294177
ANTHEM BCBS OF KY
TN
01
—
0061459
BLUE CROSS BLUE SHIELD OF
TN
05
—
117246
—
TN
05
—
1504871
—
TN
01
—
172300
BLUE CROSS BLUE SHIELD OF
MO
05
—
202308359
—
MO
01
—
392995
HEALTHLINK
TN
01
—
4602926
AETNA HMO
TN
05
—
61459
—
TN
01
—
621284167
ALL COMMERCIAL INSURANCE
MO
01
—
621284167
TRICARE SOUTH REGION
TN
05
—
621284167
—
TN
05
—
6312
—
TN
Enumeration date
08/30/2006
Last updated
11/18/2011
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