Individual
MICHELLE VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7505 CAPITAL DR, GERMANTOWN, TN 38138-3848
(901) 730-0575
Mailing address
1661 INTERNATIONAL DR, MEMPHIS, TN 38120-1430
(901) 206-4495
(901) 425-9962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000002607
TN
Other
Enumeration date
12/01/2014
Last updated
04/10/2024
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