Individual
KRUPA REVANNA NATARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
178 MAPLE CT, JOHNSON CITY, TN 37615-3156
(301) 836-1346
Mailing address
PO BOX 70567, JOHNSON CITY, TN 37614-1707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME164267
FL
Other
Enumeration date
04/11/2017
Last updated
12/23/2024
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