Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD32221 | TN |
NPI | 1013920735 |
---|---|
Provider Name | Mrs. Wiaam M Falouji |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 21/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130023622 | RAILROAD MEDICARE (01) | |
2589675 | AETNA (01) | |
3848956 | (05) | TN |
4018322 | BLUE CROSS BLUE SHIELD (01) | |
621862432 | CIGNA (01) | |
621862432 | UNITED HEALTHCARE (01) | |
80921 | HEALTHSPRING (01) | |
H08483 | (02) | TN |