Yn Pakkala M.d, P.c

NPI #1841555141 in Bolivar, Tennessee

Provider Information

NPI Number: 1841555141
Entity Type: Organization
Organization Name: Yn Pakkala M.d, P.c
Primary Specialty: General Practice
Enumeration Date: Jul 12, 2012
Last Updated: Sep 9, 2013

Practice Location

Address: 630 NUCKOLLS RD
City: Bolivar
State: Tennessee
ZIP Code: 38008-1532
Phone: (731) 658-6011

Authorized Official

Name: DR. NITHYANANDA PAKKALA, MD
Title: DOCTOR
Phone: (731) 658-6011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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