Individual
SRINIVAS BOPPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4522
(865) 545-7817
(865) 545-8649
Mailing address
PO BOX 16506, CHAPEL HILL, NC 27516-6506
(919) 967-6646
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
37780
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3889242
—
TN
01
—
4072395
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
06/11/2006
Last updated
03/18/2008
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