Healthcare Provider Details

I. General information

NPI: 1417799362
Provider Name (Legal Business Name): CHRISHANTI ANNA JOSEPH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 DANNY THOMAS PL # MS 130
MEMPHIS TN
38105-3678
US

IV. Provider business mailing address

262 DANNY THOMAS PL # MS 130
MEMPHIS TN
38105-3678
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number246909
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: