Provider Demographics
NPI:1548671845
Name:MULAY, SHREE RAMAKANT (MD)
Entity type:Individual
Prefix:DR
First Name:SHREE
Middle Name:RAMAKANT
Last Name:MULAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1575 PARR AVE STE B
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-3151
Mailing Address - Country:US
Mailing Address - Phone:731-286-1510
Mailing Address - Fax:731-777-2472
Practice Address - Street 1:1575 PARR AVE STE B
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024
Practice Address - Country:US
Practice Address - Phone:731-286-1510
Practice Address - Fax:731-777-2472
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI65929-20207RN0300X
TNMD0000057288207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology