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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609891563 | NPPES |
| Virginia | Other | 069097 | BCBS |
| Virginia | MEDICAID | 3016081 | BCBS |
| Virginia | Other | 0048066 | BCBS |
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