Individual
DR. SORAWIT TIMOTHY DECHA-UMPHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 JEFFERSON AVE, MAILBOX 111, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7286
Mailing address
2836 BEAUX BRIDGE CV, GERMANTOWN, TN 38138-7504
(615) 305-7729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0175455A
IN
Other
Enumeration date
06/16/2011
Last updated
09/02/2015
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