Krishnasamy, Sriram

Krishnasamy, Sriram is an sole proprietor health care provider with primary practice located at 298 Clear Sky Ct Suite B, Clarksville TN 37043-5685. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Krishnasamy, Sriram can be contacted via phone (931) 542-2647.

Contact Information

Primary practice address
298 Clear Sky Ct Suite B Clarksville TN 37043-5685
Phone: (931) 542-2647
Fax: (931) 542-2648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34189 Tennessee
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 34189 Tennessee
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 34189 Tennessee
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 34189 Tennessee

Profile Details

NPI number 1114024908
LBN Legal business name Krishnasamy, Sriram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Sep 13th, 2012 - about 14 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 1114024908 NPPES
Tennessee MEDICAID 38521912
Tennessee Other 6013297
Tennessee Other 4219903
Tennessee Other 7884977
Tennessee MEDICAID 1508276

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