Individual
VENKATA S TAMMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
438 N WHITNEY AVE, COOKEVILLE, TN 38501-2455
(931) 783-2616
(931) 783-2610
Mailing address
127 N OAK AVE, SUITE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
50915
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6018717
BCBS
TN
05
—
7100412570
—
KY
05
—
Q006861
—
TN
Enumeration date
06/02/2008
Last updated
05/15/2017
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