Individual
CHINMAY SARVOTTAM MAJMUNDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.C.S.
Contact information
Practice address
145 W 4TH ST STE 102, COOKEVILLE, TN 38501-2476
(931) 783-5515
Mailing address
127 N OAK AVE STE D, COOKEVILLE, TN 38501-2435
(931) 783-5582
(321) 242-6050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
396869
FL
208600000X
Surgery Physician
Primary
61388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276713900
—
FL
01
—
P00415987
RR MEDICARE
FL
Enumeration date
01/05/2006
Last updated
06/04/2020
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