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1982704870
KODIHALLI P CHANNABASAPPA
MADISON, TN
NPI
1982704870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: TN 010618)
Enumeration Date
2006-09-22
Last Update Date
2008-01-18
Business Address
Dr. KODIHALLI P CHANNABASAPPA MD
607 W DUE WEST AVE SUITE 122
MADISON, TN 37115-4431
Phone number: 615-865-6111
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Mailing Address
Dr. KODIHALLI P CHANNABASAPPA MD
607 W DUE WEST AVE SUITE 122
MADISON, TN 37115-4431
Phone number: 615-865-6111
Copy
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