Individual
DR. PULLATIKURTHI PRADEEP KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CORNER OF LAMONT AND SYDNEY, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3417
Mailing address
1911 MILLBROOK DR, JOHNSON CITY, TN 37604-1485
(423) 926-1171
(423) 979-3417
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4771325
TN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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