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NPI Code Detail

MEDICARE: DR. GEETA R. MOOLCHANDANI M.D.

MEDICARE: DR. GEETA R. MOOLCHANDANI M.D.
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
1207L00000XAnesthesiology PhysicianMD23927TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376519066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEETA R. MOOLCHANDANI M.D.
Provider Business Mailing Address
First Line : 1900 EXETER RD
Second Line : SUITE 210
City : GERMANTOWN
State : TN
Zip : 38138-2954
Country : US
Telephone Number : 901-818-2162
Fax Number : 901-818-2163
Provider Business Practice Location Address
First Line : 6019 WALNUT GROVE RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2113
Country : US
Telephone Number : 901-226-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 06/08/2018

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