Individual
DR. VIDYA R BETHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
482 WARFIELD BLVD, CLARKSVILLE, TN 37043-6071
(931) 906-6644
(931) 906-7805
Mailing address
482 WARFIELD BLVD, CLARKSVILLE, TN 37043-6071
(931) 906-6644
(931) 906-7805
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD0000027336
TN
208VP0014X
Interventional Pain Medicine Physician
Primary
MD0000027336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3800894
—
TN
Enumeration date
07/27/2005
Last updated
12/14/2011
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