| Dr Jaya Venkataraman, MD | |
|
3180 Professional Plaza, Suite 111, Germantown, TN 38138 | |
| (901) 854-5455 | |
| (901) 861-7736 |
| Full Name | Dr Jaya Venkataraman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3180 Professional Plaza, Germantown, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487654752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 38751 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 38751 (Tennessee) | Primary |
| Entity Name | Collierville Pediatrics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326229345 PECOS PAC ID: 6305265307 Enrollment ID: O20200924001176 |
| Entity Name | Midsouth Independent Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861009326 PECOS PAC ID: 2668886722 Enrollment ID: O20210201001564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaya Venkataraman, MD 3180 Professional Plaza, Suite 111, Germantown, TN 38138 Ph: (901) 854-5455 | Dr Jaya Venkataraman, MD 3180 Professional Plaza, Suite 111, Germantown, TN 38138 Ph: (901) 854-5455 |
Jennifer Haaga Berger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1255 S Germantown Rd, Germantown, TN 38138 Phone: 901-432-1591 Fax: 901-432-1596 | |
Dr. Catherine Ann Chidester, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 W Brierbrook Rd, Germantown, TN 38138 Phone: 901-755-8300 Fax: 901-755-7568 | |
Marie Bugnitz Thompson, Pediatrics Medicare: Medicare Enrolled Practice Location: 7675 Wolf River Cir Ste 102, Germantown, TN 38138 Phone: 901-755-8300 | |
Catherine Alexander Vaughan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7691 Poplar Ave # 3213, Germantown, TN 38138 Phone: 901-516-6433 Fax: 901-516-6632 | |
Shazia Mahmud Hussain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2002 Exeter Rd, Germantown, TN 38138 Phone: 901-757-3570 Fax: 901-757-3576 | |
Anthony Melvin Senter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2002 Exeter Rd, Germantown, TN 38138 Phone: 901-757-3570 Fax: 901-757-3576 | |
Dr. Charlotte Jane Dick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1255 S Germantown Rd, Germantown, TN 38138 Phone: 901-432-1591 Fax: 901-432-1596 |