Integrated Skin Institute Pllc

LBN: Integrated Skin Institute Pllc
Integrated Skin Institute Pllc is an health care organization with primary practice located at 1424 W Baddour Pkwy Ste G , Lebanon TN 37087-2685. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Integrated Skin Institute Pllc can be contacted via phone (615) 314-1699, or through Mudigonda, Tejaswi V via phone (551) 208-3090.

Contact Information

Primary practice address
1424 W Baddour Pkwy Ste G Lebanon TN 37087-2685
Phone: (615) 314-1699
Fax: (615) 622-8905
Website:
Map and Directions
Authorized official contact:
Name: Mudigonda, Tejaswi V Doctor of Medicine (MD)
Phone: (551) 208-3090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1770351041
LBN Legal business name Integrated Skin Institute Pllc
DBA Doing business as
Authorized official Mudigonda, Tejaswi V Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2023
Last updated Apr 7th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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