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Individual

SHYAMAL SARKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
170 MURRAY GUARD DR, JACKSON, TN 38305-3609
(731) 984-8390
(731) 984-8392
Mailing address
170 MURRAY GUARD DR, JACKSON, TN 38305-3609
(731) 984-8390
(731) 984-8392

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000029600
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3714241
TN
01
4062979
BCBS PIN
TN
Enumeration date
01/24/2006
Last updated
02/28/2011
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