Provider Demographics
NPI:1841224300
Name:KARRI, SOMESWARA REDDY (MD)
Entity type:Individual
Prefix:DR
First Name:SOMESWARA
Middle Name:REDDY
Last Name:KARRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 382668
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-2668
Mailing Address - Country:US
Mailing Address - Phone:901-725-2222
Mailing Address - Fax:901-725-1133
Practice Address - Street 1:4066 SUMMER AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-5262
Practice Address - Country:US
Practice Address - Phone:901-725-2222
Practice Address - Fax:901-725-1133
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35778207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00125364Medicaid
MO20573241Medicaid
TN3869275Medicaid
TN4102260OtherBLUE CROSS
AR99220Medicaid
TNG28618Medicare UPIN
TN3869275Medicaid