Individual
SAI SUDHA MANNEMUDDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 CLINCH AVE STE 310, KNOXVILLE, TN 37916-2220
(865) 546-3111
(877) 761-6691
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
60783
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q056987
—
TN
Enumeration date
07/10/2014
Last updated
02/14/2025
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