Individual
DR. MEDICHERLA SHYAM SUNDER KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 SEWELL ROAD, SPARTA, TN 38583
(931) 743-6291
Mailing address
115 LONG POINT DR, ROCK ISLAND, TN 38581-3424
(931) 743-6291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101033814
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101033814
VA
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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