Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 50084 | TN |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 50084 | TN |
NPI | 1225222714 |
---|---|
Provider Name | Dr. David Sushilkumar Ebenezer |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 12/03/2021 |