Basic Information
Provider Information | |||||||||
NPI: | 1982054532 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | PAPE | ||||||||
FirstName: | PUJA | ||||||||
MiddleName: | TOPRANI | ||||||||
NamePrefix: | MRS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | TOPRANI | ||||||||
OtherFirstName: | PUJA | ||||||||
OtherMiddleName: | RAJESH | ||||||||
OtherNamePrefix: | MS. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | M.D | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 300 20TH AVE N STE 403 | ||||||||
Address2: |   | ||||||||
City: | NASHVILLE | ||||||||
State: | TN | ||||||||
PostalCode: | 372035180 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6152844088 | ||||||||
FaxNumber: | 6152847501 | ||||||||
Practice Location | |||||||||
Address1: | 1020 N HIGHLAND AVE STE A | ||||||||
Address2: |   | ||||||||
City: | MURFREESBORO | ||||||||
State: | TN | ||||||||
PostalCode: | 371302494 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6153966620 | ||||||||
FaxNumber: | 6153966625 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/14/2016 | ||||||||
LastUpdateDate: | 08/02/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 08/02/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD-46405 | IA | Y |   | Allopathic & Osteopathic Physicians | Family Medicine |   |
No ID Information.