Individual
DR. PARVATI ANANTHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2033 MEADOWVIEW LN, STE 200, KINGSPORT, TN 37660-7569
(423) 857-2260
(423) 857-2261
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101242469
VA
207Q00000X
Family Medicine Physician
Primary
MD 36850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3888528
—
TN
Enumeration date
05/24/2005
Last updated
09/16/2009
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