Individual
MISS SMITA DE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
(615) 936-0605
Mailing address
719 THOMPSON LN, SUITE 30330, NASHVILLE, TN 37204-3609
(615) 322-3000
(615) 963-0605
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
54320
TN
208800000X
Urology Physician
A118009
CA
Other
Enumeration date
04/13/2010
Last updated
07/11/2016
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