Individual
MENAKA AMBARISHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1161 21ST AVE S, NASHVILLE, TN 37232-0011
(615) 343-4882
Mailing address
1161 21ST AVE S, NASHVILLE, TN 37232-0011
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0000000
TN
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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