Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yn Pakkala M D, PC

Organization General Practice Physician · NPI 1841555141

Yn Pakkala M D, PC is a General Practice Physician in Bolivar, Tennessee. Licensed in Tennessee. Registered with an NPI since 2012.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

630 Nuckolls Rd
Bolivar, TN 38008-1532
Phone: (731) 658-6011
Fax: (731) 658-9884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD9916 (TN)

Record details

NPI number1841555141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nithyananda Pakkala — Doctor · (731) 658-6011
NPI enumeratedJuly 12, 2012
Last updated in NPPESSeptember 9, 2013
Mailing address630 Nuckolls Rd, Bolivar, TN 38008-1532