Provider Demographics
NPI:1043435068
Name:OOMMAN, SOWMINI (MD)
Entity type:Individual
Prefix:
First Name:SOWMINI
Middle Name:
Last Name:OOMMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 CANDYTUFT CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8607
Mailing Address - Country:US
Mailing Address - Phone:615-302-8039
Mailing Address - Fax:
Practice Address - Street 1:1003 CANDYTUFT CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8607
Practice Address - Country:US
Practice Address - Phone:615-302-8039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT606472084S0012X, 2084S0012X
NE261272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNMD54269OtherTN MEDICAL LICENSE
MT60647OtherMT MEDICAL LICENSE
TNQ022759Medicaid