Provider Demographics
NPI:1366673352
Name:PANNALA, NAGA (MD)
Entity Type:Individual
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First Name:NAGA
Middle Name:
Last Name:PANNALA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:102 WOODMONT BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5250
Mailing Address - Country:US
Mailing Address - Phone:615-314-5257
Mailing Address - Fax:615-692-0547
Practice Address - Street 1:165 BESSEMER SUPER HWY
Practice Address - Street 2:
Practice Address - City:MIDFIELD
Practice Address - State:AL
Practice Address - Zip Code:35228-2101
Practice Address - Country:US
Practice Address - Phone:205-366-1534
Practice Address - Fax:205-366-1534
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2022-02-16
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Provider Licenses
StateLicense IDTaxonomies
MDD0080352207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease