Provider Demographics
NPI:1558983072
Name:SHRIMANKER, ISHA MAYUR (MD)
Entity type:Individual
Prefix:MS
First Name:ISHA
Middle Name:MAYUR
Last Name:SHRIMANKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6029 WALNUT GROVE RD STE 209
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2112
Mailing Address - Country:US
Mailing Address - Phone:901-681-0778
Mailing Address - Fax:901-821-9987
Practice Address - Street 1:6029 WALNUT GROVE RD STE 209
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2112
Practice Address - Country:US
Practice Address - Phone:901-681-0778
Practice Address - Fax:901-821-9987
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2025-08-12
Deactivation Date:2022-01-11
Deactivation Code:
Reactivation Date:2022-06-01
Provider Licenses
StateLicense IDTaxonomies
TN72927207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease