SANGEETHA KODOTH MD
Allergy and Immunology
Knoxville, Tennessee
Provider NPI: 1063465573
Provider Information:SANGEETHA KODOTH MD
Practice Location:
1346 DOWELL SPRINGS BLVD KNOXVILLE, TN 37909 US
Tel: 865-588-2753 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | TN | 35779 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3873642 | TN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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