Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 59641 | TN |
NPI | 1063830248 |
---|---|
Provider Name | Waleed Asfar |
First Address | Nashville, TN 37205-1492 |
Second Address | Nashville, TN 37207-2525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 26/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
QO52115 | (05) | TN |