Individual
BHABENDRA N. PUTATUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 BABB DR, STE. B, LEBANON, TN 37087-2508
(615) 449-1459
(615) 453-2853
Mailing address
212 BABB DR, STE. B, LEBANON, TN 37087-2508
(615) 449-1459
(615) 453-2853
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21370
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3065343
—
TN
Enumeration date
08/18/2005
Last updated
05/24/2012
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