Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 28517 | TN |
N | 111NI0900X | Internist | 28517 | TN |
N | 207RC0200X | Critical Care Medicine | 28517 | TN |
Y | 207RP1001X | Pulmonary Disease | 28517 | TN |
NPI | 1003149568 |
---|---|
Provider Name | Dr. Pamela Rani Sud |
First Address | Chattanooga, TN 37404 |
Second Address | Chattanooga, TN 37404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2009 |
Last Update Date | 25/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H55446 | (02) | TN |