Bethi, Vidya R

Bethi, Vidya R is an sole proprietor health care provider with primary practice located at 482 Warfield Blvd , Clarksville TN 37043-6071. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Bethi, Vidya R can be contacted via phone (931) 906-6644.

Contact Information

Primary practice address
482 Warfield Blvd Clarksville TN 37043-6071
Phone: (931) 906-6644
Fax: (931) 906-7805
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD0000027336 Tennessee
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD0000027336 Tennessee

Profile Details

NPI number 1922008440
LBN Legal business name Bethi, Vidya R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Dec 14th, 2011 - about 14 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 1922008440 NPPES
Tennessee MEDICAID 3800894

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