Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 43951 | TN |
NPI | 1174770895 |
---|---|
Provider Name | Meena Narasimhan |
First Address | Germantown, TN 38138-5027 |
Second Address | Bartlett, TN 38133-4032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2008 |
Last Update Date | 25/08/2008 |