Vedantam, Venkata Sri Harsha

Vedantam, Venkata Sri Harsha is an individual health care provider with primary practice located at 4 Sheridan Sq Ste 200 , Kingsport TN 37660-7435. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Vedantam, Venkata Sri Harsha 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: (423) 246-1906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 59398 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 59398 Tennessee

Profile Details

NPI number 1255781712
LBN Legal business name Vedantam, Venkata Sri Harsha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Nov 25th, 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 1255781712 NPPES
Tennessee MEDICAID Q043029

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