Individual
HERAN MENGESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-6000
Mailing address
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208-3501
(615) 327-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59931
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q043041
—
TN
Enumeration date
04/05/2016
Last updated
11/27/2023
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