Basic Information
| Provider Information | |||||||||
| NPI: | 1427581073 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RADHAKRISHNAN NAIR | ||||||||
| FirstName: | DEEPANJALI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | ST THOMAS MIDTOWN | ||||||||
| Address2: | 2000 CHURCH STREET | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372360001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152842522 | ||||||||
| FaxNumber: | 6152841694 | ||||||||
| Practice Location | |||||||||
| Address1: | UNIVERSITY OF TENNESSEE | ||||||||
| Address2: | 920 MADISON AVENUE SUITE 447 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381630001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152842522 | ||||||||
| FaxNumber: | 6152841694 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2017 | ||||||||
| LastUpdateDate: | 04/10/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.