Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 63473 | TN |
N | 207L00000X | Anesthesiologist | MD60019025 | WA |
N | 2081P2900X | Pain Medicine | 57227 | CT |
NPI | 1427260371 |
---|---|
Provider Name | Dr. Kayvon Alizadeh |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-1396 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 24/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008077106 | (05) | CT |
409871 | (05) | WA |
G8962298 | (02) | WA |