Dr Srinidhi Reddy Pulusani, MD | |
930 Madison Ave Ste 801, Memphis, TN 38103-3410 | |
(901) 866-8805 | |
(901) 302-2790 |
Full Name | Dr Srinidhi Reddy Pulusani |
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Gender | Female |
Speciality | Dermatology |
Location | 930 Madison Ave Ste 801, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215490644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 68190 (Tennessee) | Primary |
Entity Name | Ut Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384 |
Mailing Address | Practice Location Address |
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Dr Srinidhi Reddy Pulusani, MD University Of Tennessee 930 Madison Avenue Suite 840, Memphis, TN 38163-0001 Ph: (901) 448-5769 | Dr Srinidhi Reddy Pulusani, MD 930 Madison Ave Ste 801, Memphis, TN 38103-3410 Ph: (901) 866-8805 |
Dr. Emily T. Overholser, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1455 Union Ave, Memphis, TN 38104 Phone: 901-726-6655 Fax: 901-726-9056 | |
Dr. Maureen Poh, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657 | |
Dr. Robert B Skinner, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657 | |
Dr. Mark Harris Tanenbaum, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 760 Brookhaven Circle, Memphis, TN 38117 Phone: 901-761-0500 Fax: 901-761-0537 | |
Dr. Alan Harris Tanenbaum, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 760 E Brookhaven Cir, Memphis, TN 38117 Phone: 901-761-0500 | |
Dr. Courtney Stroupe Woodmansee, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1455 Union Ave, Memphis, TN 38104 Phone: 901-726-6655 |