Basic Information
| Provider Information | |||||||||
| NPI: | 1346327723 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRAZULIS | ||||||||
| FirstName: | ARTURAS | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5100 POPLAR AVE STE 2722 | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381374000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9018182160 | ||||||||
| FaxNumber: | 3193562940 | ||||||||
| Practice Location | |||||||||
| Address1: | 877 JEFFERSON AVE | ||||||||
| Address2: | |||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381032807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9015457100 | ||||||||
| FaxNumber: | 9014485540 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 05/31/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 036117321 | IL | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207R00000X | 45078-020 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207L00000X | 61840 | TN | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD-46069 | IA | N | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 036117321 | 05 | IL | MEDICAID |