Organization
JYOTHISHREE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTHISHREE RAO PINNAKA M.D. (PRESIDENT)
(508) 450-6607
Entity
Organization
Contact information
Practice address
6005 PARK AVE STE 626B, MEMPHIS, TN 38119-5221
(901) 767-4799
Mailing address
53 DANNER CT APT 101, MEMPHIS, TN 38103-5992
(508) 450-6607
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
48655
TN
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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