Kutty, Ittamveetil Narayanan

Kutty, Ittamveetil Narayanan is an individual health care provider with primary practice located at 2463 Wildwood Dr Ste 12, Kingsport TN 37660-5800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kutty, Ittamveetil Narayanan can be contacted via phone (423) 288-7869.

Contact Information

Primary practice address
2463 Wildwood Dr Ste 12 Kingsport TN 37660-5800
Phone: (423) 288-7869
Fax: (423) 392-6511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD0000016494 Tennessee

Profile Details

NPI number 1609891563
LBN Legal business name Kutty, Ittamveetil Narayanan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 1st, 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 1609891563 NPPES
Virginia Other 069097 BCBS
Virginia MEDICAID 3016081 BCBS
Virginia Other 0048066 BCBS

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