MEDICARE: DR. KATHERINE BISCHOFF DE CAIRES DO

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	208000000X	Pediatrics Physician	0102207684	VA
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	0102207684	VA
3	2080N0001X	Neonatal-Perinatal Medicine Physician	0102207684	VA

General Provider Information

NPI Number	:	1578191300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE BISCHOFF DE CAIRES DO

Provider Business Mailing Address
First Line	:	2200 CHILDRENS WAY STE 2404
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0005
Country	:	US
Telephone Number	:	615-936-5953
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY STE 2404
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-1914
Country	:	US
Telephone Number	:	615-936-5953
Fax Number	:

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

Provider Enumeration Date	:	03/28/2020
Last Update Date	:	06/28/2024

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