Organization
MID-STATE GASTROENTEROLOGY, PLLC
Active
Other names
Sunil Sarvaria MD
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIND BROOK BURNETT M.A. (PRACTICE MANAGER)
(615) 896-6996
Entity
Organization
Contact information
Practice address
517 HIGHLAND TER, STE B, MURFREESBORO, TN 37130-2476
(615) 896-6996
(615) 896-6985
Mailing address
PO BOX 11209, MURFREESBORO, TN 37129-0025
(615) 896-6996
(615) 896-6985
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000026198
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730229
—
TN
01
—
P00269512
RAILROAD MEDICARE
TN
Enumeration date
04/04/2007
Last updated
08/26/2008
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