Healthcare Provider Details

I. General information

NPI: 1669525416
Provider Name (Legal Business Name): ANNA W MORAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 THOMPSON LANE SUITE 30330
NASHVILLE TN
37204
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-6093
  • Fax: 615-936-2513
Mailing address:
  • Phone: 615-936-2000
  • Fax: 615-936-0605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD33849
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: