=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215094016
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BHUPENDRA M RAJPURA MD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2002 RICHARD JONES RD C 206
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37215-2809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-383-0055
-----------------------------------------------------
Fax | 615-383-0061
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2002 RICHARD JONES RD C 206
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37215-2809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-383-0055
-----------------------------------------------------
Fax | 615-383-0061
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. BHUPENDRA M RAJPURA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 615-383-0055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 26933
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------