Individual
DR. MITTUR NANJAPPA RAMPRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 NW ATLANTIC ST, TULLAHOMA, TN 37388-3504
(931) 455-6720
(931) 393-2837
Mailing address
509 NW ATLANTIC ST, TULLAHOMA, TN 37388-3504
(931) 455-6720
(931) 393-2837
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD0000013749
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016097
BCBST
TN
05
—
3189056
—
TN
05
—
31890561
—
TN
01
—
4142496
BLUE CROSS
TN
01
—
TN0113
AM CHOICE
TN
Enumeration date
09/12/2005
Last updated
12/26/2014
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