Individual
DR. MANOJ SRINATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 274-6350
(423) 274-6354
Mailing address
135 W RAVINE RD STE 3-A, KINGSPORT, TN 37660-3847
(423) 246-6777
(423) 246-7766
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101230824
VA
207RG0100X
Gastroenterology Physician
035088
TN
207RG0100X
Gastroenterology Physician
Primary
MD 35088
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3700035
—
TN
05
—
3862641
—
TN
05
—
5856531
—
VA
Enumeration date
05/23/2005
Last updated
07/21/2022
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