Individual
VENKATA SRI HARSHA VEDANTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7435
(423) 246-7931
(423) 246-1906
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 302-6882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59398
TN
208M00000X
Hospitalist Physician
Primary
59398
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q043029
—
TN
Enumeration date
06/15/2016
Last updated
11/25/2024
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