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Individual

KANTHI CHARAN NARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1090 N ELLINGTON PKWY, SUITE 102, LEWISBURG, TN 37091-2227
(931) 359-0019
(931) 359-7381
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 379-0019
(931) 379-7381

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46122
TN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
46122
TN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
4301088652
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3710089
TN
Enumeration date
04/13/2007
Last updated
05/19/2012
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