Organization
ADULT CARDIOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. K M ANANDAIAH MD (PRESIDENT)
(615) 824-8344
Entity
Organization
Contact information
Practice address
107 IMPERIAL BLVD, STE.11, HENDERSONVILLE, TN 37075-3479
(615) 824-8344
(615) 824-8401
Mailing address
107 IMPERIAL BLVD, STE.11, HENDERSONVILLE, TN 37075-3479
(615) 824-8344
(615) 824-8401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD12032
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3175288
—
TN
Enumeration date
02/28/2007
Last updated
08/22/2020
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