Deepika R Pulusani, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD028857 Issued in TN

Legal business name

DEEPIKA R PULUSANI, MD, PC

Practice address

6005 Park Ave
Suite 511
Memphis, TN 38119-5202

Phone

(901) 767-0493

Fax

(901) 767-0414

NPI assigned

Oct 29, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deepika R Pulisani, MD

Title

Owner

Phone

(901) 767-0493

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepika Reddy Pulusani, M.D.

  • Specialist
  • Memphis, TN
  • NPI 1306937438
  Medicare reassignment NPD
• Aileen Garciagayoso, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1891757761
  NPD (past)
• Ahsan H Kathawala, M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1962453225
  NPD (past)
• Imran Mirza, MD

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1679599922
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1073792818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 511",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-0493",
            "fax_number": "901-767-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 511",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-767-0493",
            "fax_number": "901-767-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPIKA R PULUSANI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "PULISANI",
        "authorized_official_first_name": "DEEPIKA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-0493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD028857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306937438",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3808281",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedicated Physicians Group of Tennessee, PLLC (Dedicated Senior Medical Center Southeast Memphis)
• Dedicated Physicians Group of Tennessee, PLLC (Dedicated Senior Medical Center Graceland)
• Dedicated Physicians Group of Tennessee, PLLC (Dedicated Senior Medical Center Lamar Airways)
• Rebekah Meadows Dedwylder, PA
• Dee's Around the Clock
• Rachel Deese, LPC-MHSP
• Brian Matthew Defeo, PT, DPT
• Charlotte A Deflumere, M.D.
• Joseph A Defranco, MD
• Mojdeh Dehghan, DDS

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.