Mannemuddhu, Sai Sudha

Mannemuddhu, Sai Sudha is an individual health care provider with primary practice located at 2100 Clinch Ave Ste 310 , Knoxville TN 37916-2220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Mannemuddhu, Sai Sudha can be contacted via phone (865) 546-3111.

Contact Information

Primary practice address
2100 Clinch Ave Ste 310 Knoxville TN 37916-2220
Phone: (865) 546-3111
Fax: (877) 761-6691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 60783 Tennessee

Profile Details

NPI number 1043626054
LBN Legal business name Mannemuddhu, Sai Sudha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2014
Last updated Apr 8th, 2022 - 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 1043626054 NPPES
Tennessee MEDICAID Q056987

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