Healthcare Provider Details

I. General information

NPI: 1427796416
Provider Name (Legal Business Name): SOMTOCHUKWU UKWUANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY 8232 DOCTORS OFFICE TOWER (DOT)
NASHVILLE TN
37232
US

IV. Provider business mailing address

2200 CHILDRENS WAY 8232 DOCTORS OFFICE TOWER (DOT)
NASHVILLE TN
37232
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-2555
  • Fax: 615-936-3601
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: