Individual provider · NPI-1

Kanthi Charan Narra, MD

Family Medicine · Lewisburg, TN

NPI number1982829297
StatusActive
Last updated in NPPESMay 19, 2012

Details

NPI
1982829297
Entity type
Individual (NPI-1)
Name
Kanthi Charan Narra
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2007
Last updated
May 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine46122TNYes
207QH0002X Family Medicine, Hospice and Palliative Medicine4301088652MI
207QG0300X Family Medicine, Geriatric Medicine46122TN

Practice location

1090 N Ellington Pkwy
Suite 102
Lewisburg, TN 37091-2227

Phone 931-359-0019 · Fax 931-359-7381

Mailing address

854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659

Phone 931-379-0019 · Fax 931-379-7381

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