Germantown Internal Medicine, Pc | |
6027 Walnut Grove Rd - Medical Plaza 2 Suite 114 Memphis TN 38120 | |
(901) 537-1892 | |
(901) 537-1898 |
Full Name | Germantown Internal Medicine, Pc |
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Speciality | Internal Medicine |
Location | 6027 Walnut Grove Rd - Medical Plaza 2, Memphis, Tennessee |
Authorized Official Name and Position | Ramesh Yalamanchilli (PRESIDENT) |
Authorized Official Contact | 9015371892 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Germantown Internal Medicine, Pc Po Box 1000 Dept 829 Memphis TN 38148-0829 Ph: (901) 537-1892 | Germantown Internal Medicine, Pc 6027 Walnut Grove Rd - Medical Plaza 2 Suite 114 Memphis TN 38120 Ph: (901) 537-1892 |
NPI Number | 1124248133 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 01/10/2008 |
Medicare PECOS PAC ID | 7113014218 |
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Medicare Enrollment ID | O20071107000073 |
Identifier | Type | State | Issuer |
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1124248133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 39524 (Tennessee) | Primary |
Provider Name | Ramesh Yalamanchili |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801858782 PECOS PAC ID: 6901845916 Enrollment ID: I20050428001102 |
Provider Name | Suresh Kari |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205814274 PECOS PAC ID: 8628004355 Enrollment ID: I20050715000040 |
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