# CENTER FOR PULMONARY AND CRITICAL CARE MEDICINE, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710162524
- **Authorized official:** DR. SRIRAM KRISHNASAMY M.D. (SOLE MEMBER)
- **Authorized official phone:** (931) 542-2647

## Contact information

- **Practice address:** 298 CLEAR SKY CT, STE. B, CLARKSVILLE, TN 37043-5685
- **Practice address phone:** (931) 542-2647
- **Practice address fax:** (931) 542-2648
- **Mailing address:** PO BOX 30805, 2032 WILMA RUDOLPH BLVD., CLARKSVILLE, TN 37040-0014
- **Mailing address phone:** (931) 542-2647
- **Mailing address fax:** (931) 542-2648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 34189 | TN | Yes |

## Other

- **Enumeration date:** 12/31/2007
- **Last updated:** 01/18/2011