Organization
CENTER FOR PULMONARY AND CRITICAL CARE MEDICINE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIRAM KRISHNASAMY M.D. (SOLE MEMBER)
(931) 542-2647
Entity
Organization
Contact information
Practice address
298 CLEAR SKY CT, STE. B, CLARKSVILLE, TN 37043-5685
(931) 542-2647
(931) 542-2648
Mailing address
PO BOX 30805, 2032 WILMA RUDOLPH BLVD., CLARKSVILLE, TN 37040-0014
(931) 542-2647
(931) 542-2648
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
34189
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38521912
MEDICARE GROUP/ ORGANIZATION PTAN
TN
Enumeration date
12/31/2007
Last updated
01/18/2011
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