Individual
DR. JYOTHISHREE RAO PINNAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
53 DANNER CT APT 101, APT # 101, MEMPHIS, TN 38103-5992
(508) 450-6607
Mailing address
53 DANNER CT APT 101, APT # 101, MEMPHIS, TN 38103-5992
(508) 450-6607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
223154
MA
207RN0300X
Nephrology Physician
Primary
48655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100096
—
MA
Enumeration date
10/19/2005
Last updated
06/21/2013
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