Provider Demographics
NPI:1447233531
Name:MURTI, APARNA K (MD)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:K
Last Name:MURTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT # 978
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:901-516-0881
Mailing Address - Fax:901-516-0528
Practice Address - Street 1:7655 POPLAR AVE
Practice Address - Street 2:BLDG A, SUITE 155
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3957
Practice Address - Country:US
Practice Address - Phone:901-752-2300
Practice Address - Fax:901-516-1391
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2013-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN39390207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7509783OtherAETNA
TNI31663Medicare UPIN
TN103I081180Medicare PIN