Dandamudi, Praveen

Dandamudi, Praveen is an individual health care provider with primary practice located at 2201 Murphy Ave Ste 303 , Nashville TN 37203-1895. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Dandamudi, Praveen can be contacted via phone (615) 628-8064.

Contact Information

Primary practice address
2201 Murphy Ave Ste 303 Nashville TN 37203-1895
Phone: (615) 628-8064
Fax: (877) 297-3060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52782 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125049524 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 52782 Tennessee

Profile Details

NPI number 1386820413
LBN Legal business name Dandamudi, Praveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Feb 9th, 2023 - about 2 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 1386820413 NPPES
Kentucky MEDICAID 7100358320
Kentucky Other 6046839
Kentucky MEDICAID Q013761

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