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Individual

SODIENYE TETENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MB.BS

Contact information

Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 236-8363
Mailing address
7123 COMMONS CIR, CHEYENNE, WY 82009-2681

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
22217-875
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
8081A
WY
207RP1001X
Pulmonary Disease Physician
01088385A
IN
207RP1001X
Pulmonary Disease Physician
22217-875
WI
207RP1001X
Pulmonary Disease Physician
8081A
WY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
8081A
WY

Other

Enumeration date
07/16/2007
Last updated
12/29/2025
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