Individual
MR. AHMED MOHAMMEDNUR RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 PLUS PARK BLVD STE 101-G, NASHVILLE, TN 37217-1022
(615) 975-8266
Mailing address
804 JAMIE CIR, ANTIOCH, TN 37013-5218
(615) 491-6995
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
095273084
TN
Other
Enumeration date
09/14/2021
Last updated
10/05/2021
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