Individual
PHANI BORRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-1290
(901) 516-1220
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036157737
IL
207R00000X
Internal Medicine Physician
Primary
69353
TN
208M00000X
Hospitalist Physician
036157737
IL
208M00000X
Hospitalist Physician
69353
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q088442
—
TN
Enumeration date
04/02/2018
Last updated
10/09/2025
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