Individual
BOOMI NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8366 TRONDHEIM DR, CORDOVA, TN 38018-4376
(901) 428-0694
(901) 755-0559
Mailing address
8366 TRONDHEIM DR, CORDOVA, TN 38018-4376
(901) 428-0694
(901) 755-0559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-5585
AR
Other
Enumeration date
03/02/2007
Last updated
02/17/2009
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