=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558424671
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUHAIL HAZIM ALLOS M. D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2006
-----------------------------------------------------
Last Update Date | 10/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 393 WALLACE RD STE 301
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37211-4834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-425-0550
-----------------------------------------------------
Fax | 615-833-8287
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 410 42ND AVE N STE 400
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37209-3658
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-292-5722
-----------------------------------------------------
Fax | 615-346-6225
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 30455
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 208600000X
-----------------------------------------------------
Taxonomy Name | Surgery Physician
-----------------------------------------------------
License Number | 35210
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | MD0000030455
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------