Kodihalli Channabasappa, MD

NPI 1982704870 · on the registry since 2006 · sole proprietor

Practice

Address: 607 W Due West Ave
Suite 122
Madison, TN 37115
Phone: (615) 865-6111
Organisation at this address: Petre-Jo Llc
Hope In Healing
Malones Group Llc
Integrity Ems Llc
Emcee Solutions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 207RC0000X
207RC0000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-18

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