Kohli, Supriya

Kohli, Supriya is an individual health care provider with primary practice located at 1 Medical Center Blvd Suite 103, Cookeville TN 38501-4294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kohli, Supriya can be contacted via phone (931) 783-2770.

Contact Information

Primary practice address
1 Medical Center Blvd Suite 103 Cookeville TN 38501-4294
Phone: (931) 783-2770
Fax: (931) 525-1176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 52489 Tennessee

Profile Details

NPI number 1194019570
LBN Legal business name Kohli, Supriya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Dec 7th, 2020 - about 6 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 1194019570 NPPES
Tennessee MEDICAID 7100421860
Tennessee MEDICAID Q020404
Tennessee Other 6060965

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