| Shipra Putatunda MD | |
|
1418 Northwoods Cv Murfreesboro TN 37130-1130 | |
| (615) 397-4298 | |
| Not Available |
| Full Name | Shipra Putatunda MD |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1418 Northwoods Cv, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Shipra Putatunda (OWNER) |
| Authorized Official Contact | 6153974298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shipra Putatunda MD 1418 Northwoods Cv Murfreesboro TN 37130-1130 Ph: (615) 397-4298 | Shipra Putatunda MD 1418 Northwoods Cv Murfreesboro TN 37130-1130 Ph: (615) 397-4298 |
| NPI Number | 1821708926 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 2769853019 |
|---|---|
| Medicare Enrollment ID | O20230124001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821708926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Shipra Putatunda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669678363 PECOS PAC ID: 1355512922 Enrollment ID: I20110913000252 |
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