Individual
DR. SUSHMA BELLAMKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1331 UNION AVE STE 1145, MEMPHIS, TN 38104-7509
(901) 866-8811
Mailing address
1407 UNION AVE STE 700, MEMPHIS, TN 38104-3641
(901) 866-8748
(901) 302-2034
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
56019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04338819
—
MS
05
—
1982950093
—
MO
05
—
Q034235
—
TN
Enumeration date
07/25/2012
Last updated
10/05/2018
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