Search › Tennessee › 207Q00000X
Nithyananda Pakkala, M.D
NPI 1578558607 · on the registry since 2005 · sole proprietor
Practice
- Address
- 630 Nuckolls Rd
Bolivar, TN 38008 - Phone
- (731) 658-6011
- Fax
- (731) 658-9884
- Organisation at this address
- Yn Pakkala M.D, P.C
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 208600000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee