Individual
SITARA KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 NASHVILLE PIKE, GALLATIN, TN 37066-3110
(615) 989-1088
Mailing address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-8262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082070A
IN
207R00000X
Internal Medicine Physician
35.148049
OH
207R00000X
Internal Medicine Physician
4301502275
MI
207R00000X
Internal Medicine Physician
Primary
71322
TN
Other
Enumeration date
03/27/2016
Last updated
08/02/2024
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