Organization
RAM K THINAKKAL MD
Active
Other names
Family ENT & Allergy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAM K THINAKKAL MD (MD/PRESIDENT)
(931) 403-6101
Entity
Organization
Contact information
Practice address
521 MEDICAL DR, LIVINGSTON, TN 38570-1879
(931) 403-6101
(931) 403-6102
Mailing address
521 MEDICAL DR, LIVINGSTON, TN 38570-1879
(931) 403-6101
(931) 403-6102
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
44177
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509617
—
TN
Enumeration date
12/03/2008
Last updated
04/18/2011
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