Miss Vandana Botta, | |
1559 Sparta St, Mcminnville, TN 37110-1316 | |
(931) 815-4000 | |
Not Available |
Full Name | Miss Vandana Botta |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1559 Sparta St, Mcminnville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013335728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 61540 (Tennessee) | Primary |
Entity Name | Saint Thomas Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Pepper Branch Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740978501 PECOS PAC ID: 4385006758 Enrollment ID: O20230816003607 |
Mailing Address | Practice Location Address |
---|---|
Miss Vandana Botta, University Of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 38163-0001 Ph: (901) 448-7635 | Miss Vandana Botta, 1559 Sparta St, Mcminnville, TN 37110-1316 Ph: (931) 815-4000 |
Keith Phillip Webb, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1559 Sparta St, Mcminnville, TN 37110 Phone: 615-396-5822 Fax: 615-396-6751 | |
Dr. Evelyn Cintron, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Smithville Hwy Ste 105, Suite 4, Mcminnville, TN 37110 Phone: 931-474-7770 Fax: 931-474-7775 | |
Kathleen Hsie, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1559 Sparta St, Mcminnville, TN 37110 Phone: 615-396-5822 | |
Mr. Rene Valiente Aguirre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1559 Sparta St, River Park Hospitalist, Attn Hospitalist Program, Mcminnville, TN 37110 Phone: 931-815-4000 | |
Susan B Harlow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 597 Shelbyville Rd, Mcminnville, TN 37110 Phone: 931-815-6000 Fax: 931-815-6006 | |
Dr. Aaron Michael Evans, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1559 Sparta St, Mcminnville, TN 37110 Phone: 931-815-4000 |