Healthcare Provider Details

I. General information

NPI: 1023236809
Provider Name (Legal Business Name): ALAGIRI SWAMY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 08/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6263 POPLAR AVE STE 1052
MEMPHIS TN
38119-4701
US

IV. Provider business mailing address

644 SWEETBRIAR RD
MEMPHIS TN
38120-3026
US

V. Phone/Fax

Practice location:
  • Phone: 901-761-6157
  • Fax:
Mailing address:
  • Phone: 901-761-2395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number44041
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: