Pakkala, Nithyananda

Pakkala, Nithyananda is an sole proprietor health care provider with primary practice located at 630 Nuckolls Rd , Bolivar TN 38008-1532. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pakkala, Nithyananda can be contacted via phone (731) 658-6011.

Contact Information

Primary practice address
630 Nuckolls Rd Bolivar TN 38008-1532
Phone: (731) 658-6011
Fax: (731) 658-9884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD9916 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD9916 Tennessee

Profile Details

NPI number 1578558607
LBN Legal business name Pakkala, Nithyananda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2005
Last updated Dec 30th, 2009 - about 17 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.

Request for update

Popular Providers