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Individual

DR. PRAVEEN DANDAMUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 MURPHY AVE STE 303, NASHVILLE, TN 37203-1895
(615) 628-8064
(877) 297-3060
Mailing address
2201 MURPHY AVE STE 303, NASHVILLE, TN 37203-1895
(615) 628-8064

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125049524
IL
207R00000X
Internal Medicine Physician
52782
TN
207RN0300X
Nephrology Physician
Primary
52782
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6046839
BCBS
TN
05
7100358320
KY
05
Q013761
TN
Enumeration date
01/18/2008
Last updated
09/12/2024
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