Mudigoudar, Basanagoud

Mudigoudar, Basanagoud is an individual health care provider with primary practice located at 848 Adams Ave. Ste.L400, Memphis TN 38103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Mudigoudar, Basanagoud can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
848 Adams Ave. Ste.L400 Memphis TN 38103
Phone: (901) 287-7337
Fax: (901) 287-4540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 48824 Tennessee

Profile Details

NPI number 1528278223
LBN Legal business name Mudigoudar, Basanagoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated May 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528278223 NPPES
Texas MEDICAID 163872802
Texas MEDICAID 169935701

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