Individual
PADMA SURAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
1 VETERANS WAY, JAMES H. QUILLEN VA MEDICAL CENTER, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD-032397-Y
PA
Other
Enumeration date
05/27/2006
Last updated
05/08/2013
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