Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NITHYANANDA PAKKALA, M.D.
Active Sole ProprietorDR. NITHYANANDA PAKKALA, M.D. is a Family Medicine healthcare provider located in BOLIVAR, Tennessee. NPI 1578558607 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BOLIVAR, TN
Registration Details
- NPI Number
- 1578558607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2005 (20.73506548026 yrs)
- Last Updated
- Dec 30, 2009
- Licenses
-
MD9916 (TN)MD9916 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 NUCKOLLS RDBOLIVAR, TN, 380081532Browse TN providers · Browse ZIP 38008
- Phone
- 7316586011
- Fax
- 7316589884
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- General Surgery
Other Family Medicine Providers in BOLIVAR, TN
| Name | Credential | NPI |
|---|---|---|
| MICHIEL BRENT RUDDER | FNP MSW | 1841287109 |
| DR. JOHN LEE BLANKENSHIP | M.D. | 1346222593 |
| LAWRENCE DIAZ | D.O. | 1457327934 |
| OLUFEMI E SOYINKA | MD | 1568508448 |
| DR. ROBERT WAYNE DUNAVANT | M.D. | 1134255078 |
| DR. SAMUEL TERRY JOHNSON JR. | M.D. | 1427296276 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.