Basic Information
Provider Information
NPI: 1013917343
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARWANDE
FirstName: SUMITA
MiddleName: NAVIN
NamePrefix: MRS.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2654 DORA ELIZABETH CT
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371290874
CountryCode: US
TelephoneNumber: 6154949303
FaxNumber:  
Practice Location
Address1: 503 HIGHLAND TER
Address2: SUITE C
City: MURFREESBORO
State: TN
PostalCode: 371302477
CountryCode: US
TelephoneNumber: 6158966866
FaxNumber: 6158966825
Other Information
ProviderEnumerationDate: 07/28/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X6966TNY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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