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NPI Code Detail

MEDICARE: DR. ANDREI ARAGON AVENIDO M.D.

MEDICARE: DR. ANDREI ARAGON AVENIDO M.D.
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
12084P0800XPsychiatry Physician50993TN

General Provider Information

NPI Number : 1669786000
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREI ARAGON AVENIDO M.D.
Provider Business Mailing Address
First Line : 1009 N THOMPSON LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-4351
Country : US
Telephone Number : 615-716-1824
Fax Number :
Provider Business Practice Location Address
First Line : 1009 N THOMPSON LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37129-4351
Country : US
Telephone Number : 615-716-1824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 03/16/2020

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