Individual
BINITA DIPAK VADHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 422-7900
Mailing address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 422-7900
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0000070218
TN
207RP1001X
Pulmonary Disease Physician
Primary
0000070218
TN
Other
Enumeration date
08/17/2018
Last updated
06/19/2024
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