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Contact Information

MAHESWARA REDDY KOPPULA, MD
651 DUNLOP LN
CLARKSVILLE, TN37040
 Phone: 931-502-5090
 Fax: 931-502-5081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MAHESWARA REDDY KOPPULA · (Male)

NPI # 1588017305
Status Active
Credentials MD
Entity Individual
Enumeration date 07/16/2016
Last updated 07/02/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • DE License # DR-0026718
  • OH License # 028172
  • PA License # MD477801
  • TN License # 58980
  • KY Medicaid 7100626230
Hospital affiliation(s)
  • ERIE COUNTY MEDICAL CENTER - (Acute Care)
    462 GRIDER STREET
    BUFFALO, NY 14215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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