Individual
THARUN BANDARUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 N STATE OF FRANKLIN ROAD, JOHNSON CITY, TN 37604-6066
(423) 439-6283
(423) 439-6386
Mailing address
451 N PICKENS BRIDGE RD, APT 112, PINEY FLATS, TN 37686
(609) 455-3973
(423) 439-6386
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
04/20/2023
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