Healthcare Provider Details

I. General information

NPI: 1588899082
Provider Name (Legal Business Name): NADER SATTARI BAHRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PATTERSON ST MCKISSACK PARK INPATIENT SERVICES
NASHVILLE TN
37203-1538
US

IV. Provider business mailing address

2300 PATTERSON ST MCKISSACK PARK INPATIENT SERVICES
NASHVILLE TN
37203-1538
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-1000
  • Fax: 615-342-1045
Mailing address:
  • Phone: 615-342-1000
  • Fax: 615-342-1045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number4301093426
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number45242
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: