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NPI Code Detail

MEDICARE: DR. ALEXANDRE ATANASSOV KOUMTCHEV M.D.

MEDICARE: DR. ALEXANDRE ATANASSOV KOUMTCHEV 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 Physician41475TN

General Provider Information

NPI Number : 1790873339
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDRE ATANASSOV KOUMTCHEV M.D.
Provider Business Mailing Address
First Line : 1609 CROSSWIND PL
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-7946
Country : US
Telephone Number : 615-445-8027
Fax Number :
Provider Business Practice Location Address
First Line : 221 STEWARTS FERRY PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3325
Country : US
Telephone Number : 615-902-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 01/27/2022

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