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NPI Code Detail

MEDICARE: MILLENNIUM MEDICAL GROUP OF TENNESSEE PLLC

MEDICARE: MILLENNIUM MEDICAL GROUP OF TENNESSEE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0203XPediatric Critical Care Medicine Physician

General Provider Information

NPI Number : 1144177882
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENNIUM MEDICAL GROUP OF TENNESSEE PLLC
Provider Business Mailing Address
First Line : PO BOX 20278
Second Line :
City : BEAUMONT
State : TX
Zip : 77720-0278
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6019 WALNUT GROVE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2113
Country : US
Telephone Number : 855-222-9637
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SNEHAL DOSHI
Credential : MD
Telephone Number : 855-222-9637
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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