Healthcare Provider Details

I. General information

NPI: 1508246497
Provider Name (Legal Business Name): SRISHTI SAREEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7945 WOLF RIVER BLVD
MEMPHIS TN
38138-1762
US

IV. Provider business mailing address

7945 WOLF RIVER BLVD
MEMPHIS TN
38138-1762
US

V. Phone/Fax

Practice location:
  • Phone: 901-683-0055
  • Fax: 901-516-8254
Mailing address:
  • Phone: 901-683-0055
  • Fax: 901-516-8254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number57383
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57383
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number57383
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: