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

Dr. Praveen Shilpa Fernandopulle, MD

Individual provider Psychiatry Physician · NPI 1396309324

Dr. Praveen Shilpa Fernandopulle, MD is a Psychiatry Physician in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Mountain Home VA Medical Center 69 Dogwood Ln
Johnson City, TN 37604
Phone: (646) 250-4442
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Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 67452 (TN)

Record details

NPI number1396309324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2019
Last updated in NPPESAugust 23, 2023
Certification dateAugust 21, 2023

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