Healthcare Provider Details

I. General information

NPI: 1518155407
Provider Name (Legal Business Name): DR. ASHWINI K YENAMANDRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASWANI K YENAMANDRA PHD

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 TVC
NASHVILLE TN
37232-0001
US

IV. Provider business mailing address

3601 TVC
NASHVILLE TN
37232-0001
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-3000
  • Fax:
Mailing address:
  • Phone: 615-322-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License NumberML0000021205
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License NumberYENAA1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: