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NPI Code Detail

MEDICARE: NII SABAN QUAO M.D., P.C.

MEDICARE: NII SABAN QUAO M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMD10850TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1621131838OTHERTNTAX IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205903747
Entity Type Code : Individual
Provider Name (Legal Business Name) : NII SABAN QUAO M.D., P.C.
Provider Business Mailing Address
First Line : 519 ENON SPRINGS RD E
Second Line :
City : SMYRNA
State : TN
Zip : 37167-4446
Country : US
Telephone Number : 615-355-1994
Fax Number : 615-355-1846
Provider Business Practice Location Address
First Line : 519 ENON SPRINGS RD E
Second Line :
City : SMYRNA
State : TN
Zip : 37167-4446
Country : US
Telephone Number : 615-355-1994
Fax Number : 615-355-1846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 02/06/2012

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