Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 55859 | TN |
NPI | 1003113200 |
---|---|
Provider Name | Dr. Disha Awasthi |
First Address | Hendersonville, TN 37075-3085 |
Second Address | Hendersonville, TN 37075-3085 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2011 |
Last Update Date | 10/10/2017 |