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NPI Code Detail

MEDICARE: DR. ANITHA LAKSHMI MULLANGI M.D

MEDICARE: DR. ANITHA LAKSHMI MULLANGI M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician68541TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
168541OTHERTNSTATE LICENSE

General Provider Information

NPI Number : 1972722254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANITHA LAKSHMI MULLANGI M.D
Provider Business Mailing Address
First Line : 4901 NOLENSVILLE PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-5411
Country : US
Telephone Number : 615-575-3783
Fax Number : 877-259-8932
Provider Business Practice Location Address
First Line : 4901 NOLENSVILLE PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-5411
Country : US
Telephone Number : 615-575-3783
Fax Number : 877-259-8932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 03/13/2026

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