Provider Demographics
NPI:1831676261
Name:MOTHERAMGARI, KALICHARAN I (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KALICHARAN
Middle Name:
Last Name:MOTHERAMGARI
Suffix:I
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 NOLENSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4516
Mailing Address - Country:US
Mailing Address - Phone:615-831-0118
Mailing Address - Fax:615-831-0969
Practice Address - Street 1:4040 NOLENSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4516
Practice Address - Country:US
Practice Address - Phone:615-831-0118
Practice Address - Fax:615-831-0969
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist