MEDICARE: CARY FU 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
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	44995	TN

General Provider Information

NPI Number	:	1952329807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARY FU M.D.

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	:	615-936-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1161 21ST AVE S
Second Line	:	A-0118 MCN
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0011
Country	:	US
Telephone Number	:	615-936-0060
Fax Number	:	615-936-0223

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	03/29/2022

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