Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 29635 | TN |
N | 208200000X | Surgeon | 29635 | TN |
N | 208600000X | Surgeon | 29635 | TN |
N | 2086X0206X | Surgical Oncologist | 29635 | TN |
NPI | 1407948821 |
---|---|
Provider Name | Sunil Geevarghese |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H21171 | (02) |