Deepika R Pulusani, Md, Pc

LBN: Deepika R Pulusani, Md, Pc
Deepika R Pulusani, Md, Pc is an health care organization with primary practice located at 6005 Park Ave Suite 511, Memphis TN 38119-5202. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Deepika R Pulusani, Md, Pc can be contacted via phone (901) 767-0493, or through Pulisani, Deepika R via phone (901) 767-0493.

Contact Information

Primary practice address
6005 Park Ave Suite 511 Memphis TN 38119-5202
Phone: (901) 767-0493
Fax: (901) 767-0414
Website:
Map and Directions
Authorized official contact:
Name: Pulisani, Deepika R Doctor of Medicine (MD)
Phone: (901) 767-0493

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD028857 Tennessee

Profile Details

NPI number 1073792818
LBN Legal business name Deepika R Pulusani, Md, Pc
DBA Doing business as
Authorized official Pulisani, Deepika R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073792818 NPPES
Tennessee Other 1306937438 NPI
Tennessee MEDICAID 3808281 NPI

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