Fernandopulle, Praveen Shilpa

Fernandopulle, Praveen Shilpa is an sole proprietor health care provider with primary practice located at Mountain Home Va Medical Center 69 Dogwood Ln, Johnson City TN 37604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fernandopulle, Praveen Shilpa can be contacted via phone (646) 250-4442.

Contact Information

Primary practice address
Mountain Home Va Medical Center 69 Dogwood Ln Johnson City TN 37604
Phone: (646) 250-4442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 67452 Tennessee

Profile Details

NPI number 1396309324
LBN Legal business name Fernandopulle, Praveen Shilpa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2019
Last updated Aug 23rd, 2023 - about 3 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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