Gulla, Shannon M

Gulla, Shannon M is an individual health care provider with primary practice located at 7600 Wolf River Blvd Ste 200, Germantown TN 38138-1784. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gulla, Shannon M can be contacted via phone (901) 747-1000.

Contact Information

Primary practice address
7600 Wolf River Blvd Ste 200 Germantown TN 38138-1784
Phone: (901) 747-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18706 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 42013 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2008-00055 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E-5160 Arkansas

Profile Details

NPI number 1225182637
LBN Legal business name Gulla, Shannon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 10th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225182637 NPPES
North Carolina MEDICAID 5910379

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