Individual
JITHANDER R KATKURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
713A PRESIDENT PL, SMYRNA, TN 37167-5652
(615) 220-0056
(615) 220-0456
Mailing address
713A PRESIDENT PL, SMYRNA, TN 37167-5652
(615) 220-0056
(615) 220-0456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000031779
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3132821
—
TN
Enumeration date
05/27/2006
Last updated
04/08/2011
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