Organization
INTERNAL MEDICINE OF SUMMIT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL ENAYAT M.D. (PRESIDENT)
(615) 346-6000
Entity
Organization
Contact information
Practice address
5651 FRIST BLVD, SUITE 416, HERMITAGE, TN 37076-2054
(615) 346-6000
Mailing address
5651 FRIST BLVD, SUITE 416, HERMITAGE, TN 37076-2054
(615) 346-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16944
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44D0984814
CLIA
TN
01
—
DN3345
RAILROAD MEDICARE GROUP PTAN
TN
Enumeration date
06/09/2006
Last updated
07/17/2012
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