Ananthula, Parvati

Ananthula, Parvati is an individual health care provider with primary practice located at 2033 Meadowview Ln Ste 200, Kingsport TN 37660-7569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ananthula, Parvati can be contacted via phone (423) 857-2260.

Contact Information

Primary practice address
2033 Meadowview Ln Ste 200 Kingsport TN 37660-7569
Fax: (423) 857-2261
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 36850 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101242469 Virginia

Profile Details

NPI number 1669475448
LBN Legal business name Ananthula, Parvati
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Sep 16th, 2009 - about 15 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 1669475448 NPPES
Tennessee MEDICAID 3888528

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