Ialamova-Tountcheva, Dimka M

Ialamova-Tountcheva, Dimka M is an individual health care provider with primary practice located at 119 Boone Ridge Dr Suite 201, Johnson City TN 37615-4998. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ialamova-Tountcheva, Dimka M can be contacted via phone (423) 282-1480.

Contact Information

Primary practice address
119 Boone Ridge Dr Suite 201 Johnson City TN 37615-4998
Fax: (423) 928-1353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 39331 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39331 Tennessee

Profile Details

NPI number 1316924665
LBN Legal business name Ialamova-Tountcheva, Dimka M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated May 8th, 2014 - about 11 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 1316924665 NPPES
Tennessee Other 4122136 BCBST
Tennessee MEDICAID 3325769 BCBST
Tennessee Other TN0101 BCBST
Tennessee Other P00334011 BCBST

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