Healthcare Provider Details

I. General information

NPI: 1053989723
Provider Name (Legal Business Name): ANERI PATEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS TN
38163-0001
US

IV. Provider business mailing address

1301 PRIMACY PKWY
MEMPHIS TN
38119-0213
US

V. Phone/Fax

Practice location:
  • Phone: 901-448-0230
  • Fax: 901-448-0404
Mailing address:
  • Phone: 901-448-0230
  • Fax: 901-448-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: