Individual
SUMATHIRA T SATHANANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 WEST FOREST,, STE. 200, JACKSON, TN 38301
(731) 541-9490
(731) 541-9485
Mailing address
700 WEST FOREST,, STE 200, JACKSON, TN 38301
(731) 541-9490
(731) 541-9485
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
18802
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03838021
—
MS
05
—
1593656
—
LA
05
—
159702001
—
AR
Enumeration date
06/17/2006
Last updated
07/05/2013
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