Basic Information
Provider Information
NPI: 1174889653
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DIAS
FirstName: EDUARDO
MiddleName: COELHO
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 20TH AVE N STE 403
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372035180
CountryCode: US
TelephoneNumber:  
FaxNumber: 6152847501
Practice Location
Address1: 2004 HAYES ST STE 140
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372032648
CountryCode: US
TelephoneNumber: 6152845887
FaxNumber: 6152845889
Other Information
ProviderEnumerationDate: 04/09/2012
LastUpdateDate: 06/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMD0000054664TNN Allopathic & Osteopathic PhysiciansSurgery 
207V00000XMD0000054664TNY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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