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Individual

DR. NAGANATH THOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-2980
(662) 772-2960
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24505
MS
207R00000X
Internal Medicine Physician
65992
TN
207R00000X
Internal Medicine Physician
E-13960
AR

Other

Enumeration date
07/06/2013
Last updated
06/07/2023
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