Individual
SATYANARAYANA R PUSAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 459-7189
(662) 459-1147
Mailing address
9264 ENCLAVE GREEN LN E, GERMANTOWN, TN 38139-5717
(814) 410-5696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21169
MS
207R00000X
Internal Medicine Physician
49719
TN
207R00000X
Internal Medicine Physician
E-12044
AR
207R00000X
Internal Medicine Physician
MT190232
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01103052
—
MS
Enumeration date
10/03/2007
Last updated
07/07/2025
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