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Individual

DR. SAMIR BANGALORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3443 DICKERSON PIKE STE 580, NASHVILLE, TN 37207-2526
(158) 601-0606
(158) 601-2426
Mailing address
3443 DICKERSON PIKE STE 580, NASHVILLE, TN 37207-2526
(615) 860-1040
(615) 860-1242

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
68959
TN
2084N0400X
Neurology Physician
12462
NV
2084N0400X
Neurology Physician
68959
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043423874
CA
05
1043423874
NV
05
1043423874
UT
05
299316
AZ
Enumeration date
05/08/2007
Last updated
10/08/2024
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