Individual
ATHIP VATANAPRADITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6490 MOUNT MORIAH ROAD EXT STE 200, MEMPHIS, TN 38115-3841
(901) 565-0244
(901) 565-0616
Mailing address
6490 MOUNT MORIAH ROAD EXT STE 200, MEMPHIS, TN 38115-3841
(901) 565-0244
(901) 565-0616
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
72633
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
12/17/2024
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