Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 2015-01228 | NC |
Y | 207RI0200X | Infectious Disease | 64491 | TN |
NPI | 1043462997 |
---|---|
Provider Name | Dr. Rebecca Hafkin Berhanu |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-7030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 08/12/2021 |