Individual
DR. MEGHANA SRINIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604-6035
(423) 431-3950
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66934
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q082666
—
TN
Enumeration date
06/29/2017
Last updated
01/29/2024
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