OrganizationActive
Cumberland Kidney Specialist
NPI 1922248756 · Nephrology Physician · Cookeville, TN
Provider details
- NPI number
- 1922248756
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anju Mendiratta, Physician / Sole Mbr(931) 646-0880
- License
- 040111 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Practice location
117 N Hickory Ave Ste 200
Cookeville, TN 38501-2424
Phone: (931) 646-0880
Fax: (866) 834-5618
Approximate (ZIP-level) locationGet directions
Mailing address
117 N Hickory Ave Ste 200
Cookeville, TN 38501-2424
Registry dates
- Enumerated
- 2009-03-06
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.