MEDICARE: PHILOMENA MIKHAEL

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
1	363A00000X	Physician Assistant	6962	TN

General Provider Information

NPI Number	:	1518835107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILOMENA MIKHAEL

Provider Business Mailing Address
First Line	:	232 PAYSON CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-7979
Country	:	US
Telephone Number	:	615-481-6748
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 PAYSON CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-7979
Country	:	US
Telephone Number	:	615-481-6748
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	04/23/2026

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Directions to “ PHILOMENA MIKHAEL ” Practice Location

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