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Individual

GOWTHAM ROY LINGAMANENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1325 EASTMORELAND AVE STE 310, MEMPHIS, TN 38104-7544
(901) 758-7970
(901) 266-6425
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101267383
VA
208600000X
Surgery Physician
29019
WV
208600000X
Surgery Physician
Primary
72509
TN

Other

Enumeration date
07/23/2013
Last updated
11/13/2024
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