Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 63376 | TN |
N | 111NI0900X | Internist | 63376 | TN |
Y | 207RH0000X | Hematologist | 63376 | TN |
N | 207RX0202X | Medical Oncology | 63376 | TN |
NPI | 1437565652 |
---|---|
Provider Name | Dr. Ashwin Kishtagari |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-1047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2014 |
Last Update Date | 17/08/2021 |