Fakhruddin, Abu S

Fakhruddin, Abu S is an individual health care provider with primary practice located at 330 23Rd Ave N Suite 300, Nashville TN 37203-1534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fakhruddin, Abu S can be contacted via phone (615) 342-5900.

Contact Information

Primary practice address
330 23Rd Ave N Suite 300 Nashville TN 37203-1534
Phone: (615) 342-5900
Fax: (615) 342-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD26195 Tennessee

Profile Details

NPI number 1962497867
LBN Legal business name Fakhruddin, Abu S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Jan 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962497867 NPPES
Tennessee MEDICAID 3805808
Tennessee MEDICAID 64032071
Tennessee Other 100015511

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