Organization
CUMBERLAND KIDNEY SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJU MENDIRATTA M.D. (PHYSICIAN / SOLE MBR)
(931) 646-0880
Entity
Organization
Contact information
Practice address
117 N HICKORY AVE STE 200, COOKEVILLE, TN 38501-2424
(931) 646-0880
(866) 834-5618
Mailing address
117 N HICKORY AVE STE 200, COOKEVILLE, TN 38501-2424
(931) 646-0880
(931) 646-0884
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
040111
TN
Other
Enumeration date
03/06/2009
Last updated
08/11/2022
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