Organization
PRANA PULMONARY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJOYDEEP TANJORE VENKOBA RAO MD (AUTHORIZED OFFICIAL)
(865) 310-2504
Entity
Organization
Contact information
Practice address
230 BOWMAN ST STE B, MORRISTOWN, TN 37813-3871
(423) 501-7241
(423) 501-7242
Mailing address
4069 WELLINGTON BLVD, MORRISTOWN, TN 37814-1697
(865) 310-2504
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
02/16/2024
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