Individual
NEFIZE SERTAC KIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
1010 AIRPARK CENTER DR, NASHVILLE, TN 37217-5200
(615) 562-9200
Mailing address
1010 AIRPARK CENTER DR, NASHVILLE, TN 37217-5200
(615) 221-4400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
53927
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
69741
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
07/10/2008
Last updated
11/08/2023
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