Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57649 | TN |
N | 111NI0900X | Internist | 57649 | TN |
Y | 207RN0300X | Nephrologist | 57649 | TN |
NPI | 1033475058 |
---|---|
Provider Name | Marika Manolopoulou |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2012 |
Last Update Date | 15/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PENDING | (05) | KY |
PENDING | (05) | TN |