| Sarath B Gangavarapu Md Pc | |
|
2765 Executive Park Dr Nw Ste 1 Cleveland TN 37312 | |
| (423) 559-8989 | |
| (423) 559-8984 |
| Full Name | Sarath B Gangavarapu Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2765 Executive Park Dr Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Sarath B Gangavarapu (MEDICAL) |
| Authorized Official Contact | 4235598989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarath B Gangavarapu Md Pc Po Box 4816 Cleveland TN 37320 Ph: (423) 559-8989 | Sarath B Gangavarapu Md Pc 2765 Executive Park Dr Nw Ste 1 Cleveland TN 37312 Ph: (423) 559-8989 |
| NPI Number | 1427071380 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427071380 | NPI | - | NPPES |
| 3732603 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD0000016350 (Tennessee) | Primary |
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