Individual
VIVEK KALPATHI VENKATESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4330 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3618
(865) 992-3849
(865) 992-5166
Mailing address
DEPARTMENT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3566
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD31172
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3838927
—
TN
Enumeration date
07/14/2005
Last updated
05/28/2008
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