Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 52990 | TN |
Y | 208600000X | Surgeon | 52990 | TN |
N | 2086X0206X | Surgical Oncologist | 52990 | TN |
NPI | 1396993598 |
---|---|
Provider Name | Dr. Sandeep Anantha Sathyanarayana |
First Address | Nashville, TN 37208-3501 |
Second Address | Nashville, TN 37208-3501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2008 |
Last Update Date | 18/01/2018 |