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Organization
PRANA PULMONARY CLINIC PLLC
Active
Organization
PRANA PULMONARY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJOYDEEP TANJORE VENKOBA RAO MD (AUTHORIZED OFFICIAL)
(865) 310-2504
Entity
Organization
Contact information
Practice address
230 BOWMAN ST STE B, MORRISTOWN, TN 37813-3871
(423) 501-7241
(423) 501-7242
Mailing address
4069 WELLINGTON BLVD, MORRISTOWN, TN 37814-1697
(865) 310-2504
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
02/16/2024
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