Individual
VIJAYA LAKSHMI PAVULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
782 WEATHERLY DR, CLARKSVILLE, TN 37043-8941
(931) 645-3552
(615) 340-2675
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(931) 645-3552
(615) 340-2675
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD30942
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3846737
—
TN
01
—
MD 30942
STATE LICENCE NUMBER
TN
Enumeration date
02/15/2007
Last updated
01/04/2024
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