Boppana, Srinivas

Boppana, Srinivas is an sole proprietor health care provider with primary practice located at 900 E Oak Hill Ave , Knoxville TN 37917-4522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Boppana, Srinivas can be contacted via phone (865) 545-7817.

Contact Information

Primary practice address
900 E Oak Hill Ave Knoxville TN 37917-4522
Fax: (865) 545-8649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 37780 Tennessee

Profile Details

NPI number 1609818269
LBN Legal business name Boppana, Srinivas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2006
Last updated Mar 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609818269 NPPES
Tennessee MEDICAID 3889242
Tennessee Other 4072395

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