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Pratik K Rout

Student in an Organized Health Care Education/Training Program in Memphis, TN. Individual provider (NPI-1).

NPI number1609718147
StatusActive
Last updated in NPPESApr 6, 2026

Details

NPI
1609718147
Entity type
Individual (NPI-1)
Name
Pratik K Rout
Sex
Male
Sole proprietor
No
Enumeration date
Apr 6, 2026
Certification date
Apr 6, 2026
Last updated
Apr 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Phone 901-448-3714

Mailing address

920 Madison Ave Ste 447
Memphis, TN 38103-3438

Phone 901-448-3714

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