Individual
DR. TUNGA TRISHUL REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 BROAD ST, SUITE 410, KINGSPORT, TN 37660-4263
(423) 747-1240
Mailing address
415 BROAD ST, SUITE 410, KINGSPORT, TN 37660-4263
(423) 747-1240
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0101251941
VA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
50548
TN
Other
Enumeration date
07/21/2009
Last updated
05/06/2016
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