Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | ME0085399 | FL |
NPI | 1205859113 |
---|---|
Provider Name | Tuya Pal |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-9416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 04/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10046A | BLUE CROSS BLUE SHIELD (01) | FL |
263553400 | (05) | FL |
H58991 | (02) | FL |