Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD39975 | TN |
N | 208600000X | Surgeon | MD39975 | TN |
Y | 2086S0120X | Pediatric Surgery | 39975 | TN |
NPI | 1245387125 |
---|---|
Provider Name | Thomas Rauth |
First Address | Nashville, TN 37203-1534 |
Second Address | Nashville, TN 37203-1534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 06/04/2017 |