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
Fax: (423) 578-8025
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992706931 NPPES
Tennessee MEDICAID 3333064
Tennessee MEDICAID 3720181
Tennessee MEDICAID 010196701

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