Ayyagari, Venkatachalam

Ayyagari, Venkatachalam is an sole proprietor health care provider with primary practice located at 2784 Bartlett Blvd , Bartlett TN 38134-4530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Ayyagari, Venkatachalam can be contacted via phone (901) 382-9998.

Contact Information

Primary practice address
2784 Bartlett Blvd Bartlett TN 38134-4530
Phone: (901) 382-9998
Fax: (901) 382-9998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD 8772 Tennessee
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD 8772 Tennessee

Profile Details

NPI number 1508875733
LBN Legal business name Ayyagari, Venkatachalam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Aug 2nd, 2011 - about 13 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 1508875733 NPPES
Tennessee MEDICAID 3181632

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