Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KODIHALLI P CHANNABASAPPA, MD
Active Sole ProprietorDR. KODIHALLI P CHANNABASAPPA, MD is a Cardiovascular Disease healthcare provider located in MADISON, Tennessee. NPI 1982704870 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · MADISON, TN
Registration Details
- NPI Number
- 1982704870
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.92764456456 yrs)
- Last Updated
- Jan 18, 2008
- License
-
010618 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
607 W DUE WEST AVESUITE 122MADISON, TN, 371154431Browse TN providers · Browse ZIP 37115
- Phone
- 6158656111
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
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.