Gulla Bala Krishna MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

10534 Issued in TN

Legal business name

GULLA BALA KRISHNA MD PC

Practice address

705 NW Atlantic St
Tullahoma, TN 37388-3576

Phone

(931) 455-6626

Fax

(931) 455-6627

NPI assigned

May 4, 2010

Last updated

May 4, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gulla Bala Krishna, MD

Title

Owner/President

Phone

(931) 455-6626

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1316265184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409907",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849907",
            "telephone_number": "888-462-1321",
            "fax_number": "615-261-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NW ATLANTIC ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883576",
            "telephone_number": "931-455-6626",
            "fax_number": "931-455-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULLA BALA KRISHNA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "GULLA",
        "authorized_official_middle_name": "BALA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "931-455-6626",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "10534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Greene
• John Gregory
• Heather Griffin
• Annie Grimes, PHARMD
• Danielle Knight Gruber, BSW
• Rimda Gupta, M.D.
• Kahly Marie Gurule, RN
• Kelly Haag
• Natascha Haggard, FNP-C
• Paul M Haidak, MD

• Urology Physician in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.