Tullahoma Internal Medicine, Pllc

LBN: Tullahoma Internal Medicine, Pllc
Tullahoma Internal Medicine, Pllc is an health care organization with primary practice located at 1330 Cedar Ln Suite 100, Tullahoma TN 37388-2283. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tullahoma Internal Medicine, Pllc can be contacted via phone (931) 393-3366, or through Gupta, Rimda via phone (931) 393-3366.

Contact Information

Primary practice address
1330 Cedar Ln Suite 100 Tullahoma TN 37388-2283
Phone: (931) 393-3366
Fax: (931) 393-1065
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Rimda Doctor of Medicine (MD)
Phone: (931) 393-3366

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0000027908 Tennessee

Profile Details

NPI number 1053430439
LBN Legal business name Tullahoma Internal Medicine, Pllc
DBA Doing business as
Authorized official Gupta, Rimda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053430439 NPPES
Tennessee Other MD27908 LICENSE NUMBER
Tennessee Other 1679566772 LICENSE NUMBER
Tennessee MEDICAID 3810510 LICENSE NUMBER

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