Sujay Kumar Kannamangala Ch in Dickson - Family Medicine

Sujay Kumar Kannamangala Ch - NPI 1417079393

Sujay Kumar Kannamangala Ch is a Family Medicine in Dickson, Tennessee. Sujay Kumar Kannamangala Ch practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sujay Kumar Kannamangala Ch is 1417079393. The last update date is 2016-11-17.

Sujay Kumar Kannamangala Ch's current location address is 127 Crestview Park Dr, Dickson, Tennessee. You can contact this provider via phone number 6154465121 and fax number 6154461357. The mailing address for Sujay Kumar Kannamangala Ch is 127 Crestview Park Dr, Dickson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Sujay Kumar Kannamangala Ch
Address 127 Crestview Park Dr, Dickson, Tennessee
Phone Number 6154465121
Fax Number 6154461357
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417079393
Provider Enumeration Date 2007-04-04
Last Updated Date 2016-11-17

Provider Mailing Address Detail

Address 127 Crestview Park Dr
City Dickson
State Tennessee (TN)
Post Code 370552855
Phone Number 6154465121
Fax Number 6154461357

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD54596
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Q022894 TN --
MD54596 TN MEDICAL LICENSE

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FAQs about Sujay Kumar Kannamangala Ch

What is the unique identifier code issued to Sujay Kumar Kannamangala Ch by the Centers for Medicare & Medicaid Services (CMS)?

The Sujay Kumar Kannamangala Ch has been assigned the NPI (National Provider Identifier) 1417079393. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Sujay Kumar Kannamangala Ch located?

The Sujay Kumar Kannamangala Ch is located at 127 Crestview Park Dr, Dickson, TN 370552855.

What is Sujay Kumar Kannamangala Ch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sujay Kumar Kannamangala Ch is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date was the 1417079393 assigned to Sujay Kumar Kannamangala Ch?

The Sujay Kumar Kannamangala Ch was issued its 1417079393 on 2007-04-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Sujay Kumar Kannamangala Ch's details last updated?

The information pertaining to the Sujay Kumar Kannamangala Ch, including its address, specialty, and other details, was most recently updated on 2016-11-17.

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