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NPI Code Detail

MEDICARE: LEAH GISELLE CORDOVEZ MD

MEDICARE: LEAH GISELLE CORDOVEZ MD
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
1207R00000XInternal Medicine Physician42425TN

General Provider Information

NPI Number : 1710100656
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH GISELLE CORDOVEZ MD
Provider Business Mailing Address
First Line : 300 20TH AVE N STE 403
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2131
Country : US
Telephone Number : 615-284-1400
Fax Number : 615-284-1348
Provider Business Practice Location Address
First Line : 2004 HAYES ST STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2689
Country : US
Telephone Number : 615-324-1600
Fax Number : 615-324-1661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 09/19/2023

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Directions to “ LEAH GISELLE CORDOVEZ MD” Practice Location

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