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General NPI Number Information
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NPI Number | 1780067652
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Entity Type | Organization
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Legal Business Name | LOTUS BEHAVIORAL MEDICINE PLLC
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 11255 MATTHEWS COVE LN
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City | KNOXVILLE
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State | TN
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Zip | 37934-1912
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Country | US
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Telephone | 865-214-5095
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Fax | 865-281-5484
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Provider Business Mailing Address
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Address Line | 11255 MATTHEWS COVE LN
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City | KNOXVILLE
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State | TN
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Zip | 37934-1912
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Country | US
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Telephone | 865-214-5095
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Fax | 865-281-5484
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Authorized Official
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Title or Position | MEDICAL DIRECTOR, PSYCHIATRIST
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Name | DR. KARTHI S NAMASIVAYAM
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Credential | MD
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Telephone | 865-214-5095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 42956
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License Number State | TN
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