Individual
DR. CYRUS GHAVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-1308
(615) 441-4505
Mailing address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-5121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD61000908
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
14668
AL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
49165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937579
—
AL
05
—
2149403
—
WA
01
—
4520495
AETNA
AL
01
—
51535248
BCBS
AL
01
—
P00338937
RAILROAD MEDICARE
AL
Enumeration date
05/22/2006
Last updated
06/11/2025
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