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NPI Code Detail

MEDICARE: MOHAMMAD JUNAID HUMAYUN MD

MEDICARE: MOHAMMAD JUNAID HUMAYUN 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
12084E0001XEpilepsy Physician63676TN
22084N0400XNeurology Physician40947AL
32084N0600XClinical Neurophysiology Physician63676TN
4390200000XStudent in an Organized Health Care Education/Training Program
5273100000XEpilepsy Hospital Unit63676TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750790838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD JUNAID HUMAYUN MD
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number : 615-322-5048
Provider Business Practice Location Address
First Line : 1670 W MAIN ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-1344
Country : US
Telephone Number : 615-443-9970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2014
Last Update Date : 12/11/2025

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