# PRANA PULMONARY CLINIC PLLC

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

## Provider details

- **NPI number:** 1730969122
- **Authorized official:** DR. VIJOYDEEP TANJORE VENKOBA RAO MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (865) 310-2504

## Contact information

- **Practice address:** 230 BOWMAN ST STE B, MORRISTOWN, TN 37813-3871
- **Practice address phone:** (423) 501-7241
- **Practice address fax:** (423) 501-7242
- **Mailing address:** 4069 WELLINGTON BLVD, MORRISTOWN, TN 37814-1697
- **Mailing address phone:** (865) 310-2504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2023
- **Last updated:** 02/16/2024