Healthcare Provider Details
I. General information
NPI: 1275859068
Provider Name (Legal Business Name): YASMIN WEST KHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2010
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
719 THOMPSON LANE VANDERBILT ONE HUNDRED OAKS SUITE 36300
NASHVILLE TN
37204
US
IV. Provider business mailing address
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US
V. Phone/Fax
- Phone: 615-936-5697
- Fax:
- Phone: 615-327-5944
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 49978 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0201X |
| Taxonomy | Pediatric Allergy/Immunology Physician |
| License Number | 49978 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: