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General NPI Number Information
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NPI Number | 1124143573
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Entity Type | Organization
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Legal Business Name | CARING MEDICAL CENTER PC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 149 DURHAM DR
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City | MAYNARDVILLE
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State | TN
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Zip | 37807-2925
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Country | US
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Telephone | 865-992-2221
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Fax | 865-992-2251
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Provider Business Mailing Address
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Address Line | 149 DURHAM DR
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City | MAYNARDVILLE
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State | TN
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Zip | 37807-2925
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Country | US
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Telephone | 865-992-2221
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Fax | 865-992-2251
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Authorized Official
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Title or Position | OWNER
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Name | DR. SRINIVASA RAO CHINTALAPUDI
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Credential | MD
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Telephone | 865-992-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 30576
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License Number State | TN
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