Vedantam, Neethu

Vedantam, Neethu is an individual health care provider with primary practice located at 4 Sheridan Sq Ste 200 , Kingsport TN 37660-7435. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Vedantam, Neethu can be contacted via phone (423) 246-7931.

Contact Information

Primary practice address
4 Sheridan Sq Ste 200 Kingsport TN 37660-7435
Phone: (423) 246-7931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65494 Tennessee
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 65494 Tennessee

Profile Details

NPI number 1154851350
LBN Legal business name Vedantam, Neethu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Jan 29th, 2024 - about 2 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 1154851350 NPPES
Tennessee MEDICAID Q042551

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