Dr. Sriram Krishnasamy
Internist Sleep Medicine Pulmonary Disease Critical Care Medicine
298 Clear Sky Ct Suite B
Clarksville
, Tennessee 37043-5685
Dr. Sriram Krishnasamy
Internist Sleep Medicine Pulmonary Disease Critical Care Medicine
298 Clear Sky Ct Suite B
Clarksville
, Tennessee 37043-5685
(931) 542-2648
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
- Sleep Medicine
Languages spoken
- English
Location
First Address
- Dr. Sriram Krishnasamy
- Po Box 30805
- Clarksville, TN
- Zip : 37040-0014
- Fax : (931) 542-2648
- Phone : (931) 542-2647
Second Address
- Dr. Sriram Krishnasamy
- 298 Clear Sky Ct Suite B
- Clarksville, TN
- Zip : 37043-5685
- Fax : (931) 542-2648
- Phone : (931) 542-2647
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 34189 | TN |
| N | 111NI0900X | Internist | 34189 | TN |
| N | 207RC0200X | Critical Care Medicine | 34189 | TN |
| Y | 207RP1001X | Pulmonary Disease | 34189 | TN |
| N | 207RS0012X | Sleep Medicine | 34189 | TN |
National Provider Identifier
| NPI | 1114024908 |
|---|---|
| Provider Name | Dr. Sriram Krishnasamy |
| First Address | Clarksville, TN 37040-0014 |
| Second Address | Clarksville, TN 37043-5685 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 13/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1508276 | (05) | TN |
| 38521912 | (05) | TN |
| 4219903 | BCBS (01) | TN |
| 6013297 | HEALTHSPRING (01) | TN |
| 7884977 | AETNA (01) | TN |
| H06546 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.