PRAVEEN SHILPA FERNANDOPULLE

JOHNSON CITY, TN
NPI1396309324
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN  67452)
Enumeration Date2019-04-25
Last Update Date2023-08-23
Business Address
Dr. PRAVEEN SHILPA FERNANDOPULLE MD
MOUNTAIN HOME VA MEDICAL CENTER 69 DOGWOOD LN
JOHNSON CITY, TN 37604
Phone number: 646-250-4442
Mailing Address
Dr. PRAVEEN SHILPA FERNANDOPULLE MD
1721 SKYLINE DR APT 200
JOHNSON CITY, TN 37604-3786
Phone number: 646-250-4442
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