Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 58504 | TN |
NPI | 1053725150 |
---|---|
Provider Name | Tiwalade Awosanya |
First Address | Nashville, TN 37208-3501 |
Second Address | Nashville, TN 37208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 14/10/2019 |