Healthcare Provider Details

I. General information

NPI: 1801412416
Provider Name (Legal Business Name): VISHAK HARI KUMAR M.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VISHAK HARI NAIR

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6029 WALNUT GROVE RD STE 209
MEMPHIS TN
38120-2112
US

IV. Provider business mailing address

6029 WALNUT GROVE RD STE 209
MEMPHIS TN
38120-2112
US

V. Phone/Fax

Practice location:
  • Phone: 901-681-0778
  • Fax: 901-821-9987
Mailing address:
  • Phone: 901-681-0778
  • Fax: 901-821-9987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number73316
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: