DR. PULLATIKURTHI PRADEEP KUMAR (NPI# 1376643536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376643536 |
| Entity Type | Individual |
| Full Name | DR. PULLATIKURTHI PRADEEP KUMAR |
| Credential | M.D. |
| Practice Address |
Corner of Lamont and Sydney Mountain Home TN 37684-4000 |
| Mailing Address |
1911 Millbrook Dr Johnson City TN 37604-1485 |
| Practice Telephone | 4239261171 |
| Practice Fax Number | 4239793417 |
| Mailing Telephone | 4239261171 |
| Mailing Fax Number | 4239793417 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4771325 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
CORNER OF LAMONT AND SYDNEY |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760835649 | Gary B Wells Md Pa | Radiology | 622 Hospital Dr, Mountain Home, AR 72653-2915 | 2016-07-15 |
| 1104879964 | Gary B Wells | Radiology | 624 Hospital Drive, Mountain Home, AR 72653-2915 | 2006-05-19 |
| 1811173263 | Gary B Wells Md, Pllc | Radiology | 628 Hospital Dr, Mountain Home, AR 72653-2953 | 2008-01-16 |
| 1629171921 | Gollakota Satya Rekha | Radiology | James H. Quillen Va Medical Center, #114 R Radiation Oncology, Mountain Home, TN 37684-4000 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371409 | Jsphymgmt PC | Radiology | 6450 Kingston Pike, Knoxville, TN 37919-4833 | 2019-11-22 |
| 1275951519 | Mark Sittig | Radiology | 2004 Hayes St Ste Ll15, Nashville, TN 37203-2647 | 2014-04-03 |
| 1316389182 | He Zhu | Radiology | 4588 Carothers Pkwy, Franklin, TN 37067 | 2013-07-22 |
| 1205270428 | Nitesh G Rana | Radiology | 1635 Gunbarrel Rd Ste 100, Chattanooga, TN 37421-4983 | 2013-04-18 |
| 1235427220 | Jeffrey Mathew Friedman | Radiology | 225 Big Station Camp Blvd Ste 104, Gallatin, TN 37066 | 2011-07-12 |
| 1801071451 | West Clinic, PC | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2008-01-02 |
| 1932315389 | Lois Mastrofrancesco | Radiology | 1869 Laurel Ln, Germantown, TN 38139-6955 | 2007-05-15 |
| 1295826535 | Steven Richard Goertz | Radiology | 2107 Edward Curd Ln, Franklin, TN 37067-5615 | 2006-09-28 |
| 1295832525 | Vanderbilt Gateway Cancer Center, Gp | Radiology | 375 Alfred Thun Road, Clarksville, TN 37040 | 2006-09-20 |
| 1699718015 | Allen G. Meek | Radiology | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on DR. PULLATIKURTHI PRADEEP KUMAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.