Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 54582 | TN |
NPI | 1386925634 |
---|---|
Provider Name | Arwa Nada |
First Address | Memphis, TN 38105 |
Second Address | Memphis, TN 38105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2011 |
Last Update Date | 29/06/2018 |