Ananthula, Srinivas
Ananthula, Srinivas is an individual health care provider with primary practice located at 2033 Meadowview Ln 3Rd Floor, Kingsport TN 37660-7569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ananthula, Srinivas can be contacted via phone (423) 857-2793.Contact Information
Primary practice address
2033 Meadowview Ln 3Rd Floor
Kingsport TN 37660-7569
Phone: (423) 857-2793
Fax: (423) 578-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD39971 | Tennessee |
Profile Details
| NPI number | 1992706931 |
|---|---|
| LBN Legal business name | Ananthula, Srinivas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Mar 20th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992706931 | NPPES |
| Tennessee | MEDICAID | 3333064 | |
| Tennessee | MEDICAID | 3720181 | |
| Tennessee | MEDICAID | 010196701 |
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