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General NPI Number Information
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NPI Number | 1124171590
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Entity Type | Organization
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Legal Business Name | MID-SOUTH CARDIOVASCULAR CENTER, LLC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 4066 SUMMER AVE
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City | MEMPHIS
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State | TN
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Zip | 38122-5262
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Country | US
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Telephone | 901-725-2222
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Fax | 901-725-1133
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Provider Business Mailing Address
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Address Line | PO BOX 382668
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City | GERMANTOWN
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State | TN
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Zip | 38183-2668
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Country | US
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Telephone | 901-725-2222
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Fax | 901-725-1133
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOMESWARA REDDY KARRI
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Credential | MD
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Telephone | 901-725-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35778
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License Number State | TN
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