Healthcare Provider Details

I. General information

NPI: 1508854043
Provider Name (Legal Business Name): MARIA F DONGAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 02/09/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST STE 320
NASHVILLE TN
37203-6507
US

IV. Provider business mailing address

2400 PATTERSON ST STE 320
NASHVILLE TN
37203-6507
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-6840
  • Fax: 615-342-6844
Mailing address:
  • Phone: 615-342-6840
  • Fax: 615-342-6844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD40109
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: