Individual
PRAVEEN VIMALATHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1161 21ST AVENUE SOUTH, MEDICAL CENTER NORTH SUITE CCC-4312, NASHVILLE, TN 37232
(615) 343-6642
Mailing address
1161 21ST AVENUE SOUTH, MEDICAL CENTER NORTH SUITE CCC-4312, NASHVILLE, TN 37232
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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