Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301089938 | MI |
N | 208000000X | Pediatrician | MD440441 | PA |
N | 208000000X | Pediatrician | MD49787 | TN |
N | 208000000X | Pediatrician | MT198093 | PA |
Y | 2080P0214X | Pediatric Pulmonologist | MD49787 | TN |
NPI | 1225216898 |
---|---|
Provider Name | Christian Rosas Salazar |
First Address | Nashville, TN 37232-9500 |
Second Address | Nashville, TN 37232-9500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 15/10/2020 |