Individual
DEBAROTI (TINA) MULLICK BORSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-2362
(901) 516-8254
Mailing address
P O BOX 1000 DEPT 351, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56669
TN
208D00000X
General Practice Physician
2006027157
MO
208M00000X
Hospitalist Physician
56669
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206871402
—
MO
Enumeration date
10/12/2006
Last updated
12/06/2017
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