Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2011008004 | MO |
N | 208600000X | Surgeon | 2011008004 | MO |
Y | 2086X0206X | Surgical Oncologist | MD49078 | TN |
NPI | 1164637369 |
---|---|
Provider Name | Dr. Kamran Idrees |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-6860 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 09/02/2022 |