Individual
SRINIVAS UPPATLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
201 CASSELL DR, KINGSPORT, TN 37660-3747
(423) 439-6740
Mailing address
201 CASSELL DR, KINGSPORT, TN 37660-3747
(423) 439-6740
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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