Doctor Name: | RATNAM NOOKALA |
NPI Number: | 1033464698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MBBS |
License Number: | |
Business Practice Address: | D-4314 Medical Center North Department Of Surgery 1161 21st Avenue South Nashville, TN - 372320001 |
Business Phone Number: | 6153436642 |
Business Fax Number: | |
Mailing Address: | 2146 Belcourt Ave, Vmg Business Office NASHVILLE |
State: | TN |
Postal Code: | 372123504 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/19/2012 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |