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General NPI Number Information
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NPI Number | 1033325410
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Entity Type | Organization
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Legal Business Name | GERMANTOWN INTERNAL MEDICINE, PC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6027 WALNUT GROVE RD SUITE 114
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City | MEMPHIS
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State | TN
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Zip | 38120-2145
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Country | US
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Telephone | 901-634-4402
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Fax | 901-683-7998
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Provider Business Mailing Address
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Address Line | 3015 OAKLEIGH MANOR LN
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City | GERMANTOWN
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State | TN
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Zip | 38138-8229
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Country | US
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Telephone | 901-634-4402
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMESH YALAMANCHILI
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Credential | MD
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Telephone | 901-634-4402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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