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

Miss. Vandana Botta

Individual provider Internal Medicine Physician · NPI 1013335728

Miss. Vandana Botta is an Internal Medicine in McMinnville, Tennessee. Qualified in 2014, 12 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2014
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Practice location Address checks out

1559 Sparta St
McMinnville, TN 37110-1316
Phone: (931) 815-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • University Of Tennessee, Memphis, TN 38163-0001 — (901) 448-7635

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 61540 (TN)

Record details

NPI number1013335728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2014
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing addressUniversity Of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 38163-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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