Organization Active NPI

P Pushpanshu MD PLLC

  • Internal Medicine Physician
  • Collierville, TN
National Provider Identifier
1619416633
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD29566 Issued in TN
Legal business name
P PUSHPANSHU MD PLLC
Practice address
495 Hunters Mill CV
Collierville, TN 38017-2434
Phone
(901) 826-1977
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Pushpanshu Pushpanshu, M.D.
Title
President
Phone
(901) 826-1977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD29566 TN Primary

Addresses

Primary practice location

495 Hunters Mill CV
Collierville, TN 38017-2434

Mailing address

495 Hunters Mill CV
Collierville, TN 38017-2434
Phone (901) 826-1977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1619416633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HUNTERS MILL CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172434",
            "telephone_number": "901-826-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HUNTERS MILL CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172434",
            "telephone_number": "901-826-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P PUSHPANSHU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "PUSHPANSHU",
        "authorized_official_first_name": "PUSHPANSHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-826-1977",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD29566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.