Individual
SIVA PRASAD MULLANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 NORTHCREST DR, SPRINGFIELD, TN 37172-3973
(615) 384-8211
(615) 384-5859
Mailing address
417 NORTHCREST DR, SPRINGFIELD, TN 37172-3973
(615) 384-8211
(615) 384-5859
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
69619
TN
Other
Enumeration date
05/25/2007
Last updated
04/03/2024
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