Individual
DR. CHENNAKESAVA REDDY KUMMATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
421 S MAIN ST, CROSSVILLE, TN 38555-5048
(931) 484-9511
Mailing address
5027 SHOSHONE LOOP, CROSSVILLE, TN 38572-6417
(423) 747-4740
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD0000053606
TN
208M00000X
Hospitalist Physician
Primary
MD0000053606
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2012
Last updated
01/27/2023
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