Patil, Sushil Raj

Patil, Sushil Raj is an individual health care provider with primary practice located at 5653 Frist Blvd Suite 530, Hermitage TN 37076. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Patil, Sushil Raj can be contacted via phone (615) 885-1093.

Contact Information

Primary practice address
5653 Frist Blvd Suite 530 Hermitage TN 37076
Phone: (615) 885-1093
Fax: (615) 885-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30280 Tennessee

Profile Details

NPI number 1821095738
LBN Legal business name Patil, Sushil Raj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 9th, 2010 - about 15 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 1821095738 NPPES
Tennessee Other 621612525 TAX INDENTIFICATION #
Tennessee MEDICAID 3707485 TAX INDENTIFICATION #
Tennessee MEDICAID 3861936 TAX INDENTIFICATION #

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