Individual
CHANDRAKANTA D NAWATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040-5007
(931) 245-8600
(931) 245-8660
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-7000
(931) 245-7069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29412
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3092450
BLUECROSS/BLUESHIELD
TN
05
—
3092450
—
TN
Enumeration date
08/14/2006
Last updated
01/06/2017
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