Pulusani, Vaishnavi Reddy
Pulusani, Vaishnavi Reddy is an sole proprietor health care provider with primary practice located at 6401 Poplar Ave Ste 190 , Memphis TN 38119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Pulusani, Vaishnavi Reddy can be contacted via phone (901) 888-8770.Contact Information
Primary practice address
6401 Poplar Ave Ste 190
Memphis TN 38119
Phone: (901) 888-8770
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 54064 | Tennessee |
Profile Details
NPI number | 1164789533 |
---|---|
LBN Legal business name | Pulusani, Vaishnavi Reddy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 23rd, 2012 |
Last updated | Oct 16th, 2018 - about 6 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164789533 | NPPES |
Tennessee | MEDICAID | Q030625 | |
Tennessee | MEDICAID | 06977094 | |
Tennessee | MEDICAID | 221435001 |
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