Kodali, Swatantra Babu

Kodali, Swatantra Babu is an individual health care provider with primary practice located at 1104 W 4Th North St , Morristown TN 37814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kodali, Swatantra Babu can be contacted via phone (423) 317-8482.

Contact Information

Primary practice address
1104 W 4Th North St Morristown TN 37814
Phone: (423) 317-8482
Fax: (423) 317-9901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD20092 Tennessee

Profile Details

NPI number 1033110408
LBN Legal business name Kodali, Swatantra Babu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 18 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 1033110408 NPPES
Tennessee MEDICAID 3855409
Tennessee Other 4000766

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