Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD8924 | TN |
NPI | 1003802513 |
---|---|
Provider Name | Dr. Zenarosa C Salcedo |
First Address | Nashville, TN 37209-3208 |
Second Address | Nashville, TN 37209-3208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 08/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3144673 | BLUE CROSS BLUE SHIELD TN (01) | TN |
F32651 | (02) | TN |