Mr Ittamveetil Narayanan Kutty, MD | |
2463 Wildwood Dr, Ste 12, Kingsport, TN 37660-5800 | |
(423) 288-7869 | |
(423) 392-6511 |
Full Name | Mr Ittamveetil Narayanan Kutty |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2463 Wildwood Dr, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609891563 | NPI | - | NPPES |
069097 | Other | VA | BCBS |
3016081 | Medicaid | TN | |
0048066 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD0000016494 (Tennessee) | Primary |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935 |
Mailing Address | Practice Location Address |
---|---|
Mr Ittamveetil Narayanan Kutty, MD 1167 Spratlin Park Drive, Frontier Health, Gray, TN 37615 Ph: (423) 467-3658 | Mr Ittamveetil Narayanan Kutty, MD 2463 Wildwood Dr, Ste 12, Kingsport, TN 37660-5800 Ph: (423) 288-7869 |
Rodney James Deaton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Dr. Christopher A Pendola, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2212 N John B Dennis Hwy, Suite C, Kingsport, TN 37660 Phone: 423-224-3940 Fax: 423-224-3946 | |
Dr. Michael Dew, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Sq Ste 200, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254 | |
Dr. Robert Scott Macdonald, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 914 Broad St, Suite 3a, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254 | |
Pedro A Bauza-feliciano, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
Dr. Douglas A Wright, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 914 Broad St, Suite 3a, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254 | |
Otakar Krcal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Sq, Ste 200, Kingsport, TN 37660 Phone: 423-857-1360 Fax: 423-723-0563 |