Individual
DR. DELINE KIRUBANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2855
(615) 441-4460
(615) 441-4584
Mailing address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-5121
(615) 446-1359
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56107
TN
207Q00000X
Family Medicine Physician
Primary
56107
TN
207Q00000X
Family Medicine Physician
Primary
PENDING
TN
Other
Enumeration date
03/25/2014
Last updated
03/10/2026
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