MEDICARE: PUJA K MYNE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	53109	TN

General Provider Information

NPI Number	:	1215213160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PUJA K MYNE MD

Provider Business Mailing Address
First Line	:	300 20TH AVE N STE 403
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5180
Country	:	US
Telephone Number	:	615-284-7261
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 NEW SALEM HWY
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-5253
Country	:	US
Telephone Number	:	615-396-6850
Fax Number	:	615-396-6855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2011
Last Update Date	:	07/01/2021

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Directions to “ PUJA K MYNE MD” Practice Location

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