Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | TNMD0000016260 | TN |
NPI | 1053344549 |
---|---|
Provider Name | Dr. Mohammad Reza Habibian |
First Address | Nashville, TN 37205-3027 |
Second Address | Nashville, TN 37212-2637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 08/07/2007 |