Healthcare Provider Details

I. General information

NPI: 1780577858
Provider Name (Legal Business Name): MAHSA SHARIFI TALBOTT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 HAYES ST SUITE 800
NASHVILLE TN
37203
US

IV. Provider business mailing address

2004 HAYES ST SUITE 800
NASHVILLE TN
37203
US

V. Phone/Fax

Practice location:
  • Phone: 813-380-6234
  • Fax:
Mailing address:
  • Phone: 813-380-6234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number27815
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: