Healthcare Provider Details

I. General information

NPI: 1407019938
Provider Name (Legal Business Name): NADIA RAZAQ SUTTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. NADIA RAZAQ

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STEAM PLANT RD STE 310
GALLATIN TN
37066-3089
US

IV. Provider business mailing address

300 STEAM PLANT RD STE 310
GALLATIN TN
37066-3089
US

V. Phone/Fax

Practice location:
  • Phone: 615-451-9200
  • Fax: 615-451-1246
Mailing address:
  • Phone: 615-451-9200
  • Fax: 615-451-1246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301092138
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number66508
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301092300
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number4301092300
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number66508
License Number StateTN
# 6
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number66508
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: