| Vasista PLLC | |
|
1211 Union Ave Memphis TN 38104-6638 | |
| (901) 516-7000 | |
| Not Available |
| Full Name | Vasista PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1211 Union Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Satyanarayana Raju Pusapati (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8144105696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vasista PLLC Po Box 38056 Germantown TN 38183-0056 Ph: (814) 410-5696 | Vasista PLLC 1211 Union Ave Memphis TN 38104-6638 Ph: (901) 516-7000 |
| NPI Number | 1558246074 |
|---|---|
| Provider Enumeration Date | 08/06/2025 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Medicare PECOS PAC ID | 8123515046 |
|---|---|
| Medicare Enrollment ID | O20251014003946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558246074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Satyanarayana Raja Pusapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871780874 PECOS PAC ID: 1052504297 Enrollment ID: I20140711001630 |
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