Individual
DR. MITALI NANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 STONECREST PKWY, SUITE 150, SMYRNA, TN 37167-6826
(615) 223-1550
(615) 223-1331
Mailing address
11103 QUIETGROVE RD, SMYRNA, TN 37167-2984
(347) 726-1959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000053102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017916
—
TN
Enumeration date
07/17/2012
Last updated
12/17/2021
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