Individual
BHEERENDRA RAMANNA PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3836 PARK AVE, MEMPHIS, TN 38111-6633
(901) 324-3984
Mailing address
3836 PARK AVE, MEMPHIS, TN 38111-6633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42139
TN
Other
Enumeration date
04/24/2007
Last updated
12/06/2007
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