Healthcare Provider Details

I. General information

NPI: 1902149206
Provider Name (Legal Business Name): ARVIND HAROLD VAZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRUSTPOINT HOSPITAL 1009 N THOMPSON LN
MURFREESBORO TN
37129
US

IV. Provider business mailing address

TRUSTPOINT HOSPITAL 1009 N THOMPSON LN
MURFREESBORO TN
37129-4351
US

V. Phone/Fax

Practice location:
  • Phone: 615-848-5701
  • Fax:
Mailing address:
  • Phone: 615-848-5701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number56379
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number56379
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: