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1184186793
VENKATA SIVA KRISHNA PULIVARTHI
KINGSPORT, TN
NPI
1184186793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 67314)
Enumeration Date
2019-04-02
Last Update Date
2024-01-24
Business Address
Dr. VENKATA SIVA KRISHNA PULIVARTHI MD
4 SHERIDAN SQ STE 200
KINGSPORT, TN 37660-7435
Phone number: 423-246-7931
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Mailing Address
Dr. VENKATA SIVA KRISHNA PULIVARTHI MD
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number:
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