Individual
DR. MARTIN I JORDANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1161 21ST AVE S, CCC-1121 MCN, NASHVILLE, TN 37232-2675
(615) 322-3765
(615) 322-3764
Mailing address
1161 21ST AVE S, CCC-1121 MCN, NASHVILLE, TN 37232-2675
(615) 322-3765
(615) 322-3764
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD39648
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
TAX ID
—
Enumeration date
06/30/2006
Last updated
09/26/2012
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