Individual
VINAYA S BELAGODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29500
TN
208M00000X
Hospitalist Physician
Primary
29500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38137281
—
TN
05
—
3813729
—
TN
Enumeration date
10/18/2006
Last updated
05/08/2008
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