Individual
BASAVATTI MADAPPA SOWMYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(319) 368-5970
(319) 368-5973
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 371-5765
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.011382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15377
BCBS
NC
05
—
5913006
—
NC
Enumeration date
05/13/2008
Last updated
07/29/2010
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