Individual
SHANTI PITTAMPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 N OAK AVE STE B, COOKEVILLE, TN 38501-2435
(931) 783-2648
(931) 783-2649
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
67984
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q086325
—
TN
Enumeration date
03/23/2018
Last updated
10/25/2023
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