Basic Information
Provider Information
NPI: 1356395990
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BABU
FirstName: NARAYANAREDDY
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 501 GREAT CIRCLE RD
Address2: SUITE 200
City: NASHVILLE
State: TN
PostalCode: 372281317
CountryCode: US
TelephoneNumber: 6152694545
FaxNumber: 6155656789
Practice Location
Address1: 4230 HARDING RD
Address2: SUITE 330
City: NASHVILLE
State: TN
PostalCode: 372052013
CountryCode: US
TelephoneNumber: 6152694545
FaxNumber: 6155656789
Other Information
ProviderEnumerationDate: 05/19/2006
LastUpdateDate: 12/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X10512TNY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

ID Information
IDTypeStateIssuerDescription
386080105TN MEDICAID
601154801TNBCBSOTHER
P0137724001TNRR MEDICAREOTHER


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