Individual
NAMRATHA REDDY VONTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 NEW YORK AVE STE 200, OAK RIDGE, TN 37830
(865) 835-5400
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 331-1720
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
25049
MS
207RH0003X
Hematology & Oncology Physician
Primary
56301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033178
—
TN
Enumeration date
06/27/2011
Last updated
08/24/2020
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