Provider Demographics
NPI:1679835441
Name:KATRAGADDA, VINAI KUMAR (MD, MHA)
Entity type:Individual
Prefix:
First Name:VINAI KUMAR
Middle Name:
Last Name:KATRAGADDA
Suffix:
Gender:M
Credentials:MD, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 42ND AVE N STE 300
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3669
Mailing Address - Country:US
Mailing Address - Phone:615-356-4111
Mailing Address - Fax:615-356-8011
Practice Address - Street 1:2319 RUDOLPHTOWN RD STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2382
Practice Address - Country:US
Practice Address - Phone:931-444-5610
Practice Address - Fax:931-444-5629
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY49686207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100473120Medicaid