Healthcare Provider Details

I. General information

NPI: 1144332842
Provider Name (Legal Business Name): JAMES D. SAINO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1172 VICKERY LN
CORDOVA TN
38016-1619
US

IV. Provider business mailing address

335 BLUFFSIDE PT
CORDOVA TN
38018-7683
US

V. Phone/Fax

Practice location:
  • Phone: 901-757-0095
  • Fax: 901-754-4838
Mailing address:
  • Phone: 901-757-0095
  • Fax: 901-754-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD11061
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: