Individual
AMISH R PUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 RIVERGATE PARKWAY, GOODLETTSVILLE, TN 37072-2030
(615) 859-3937
(615) 859-3919
Mailing address
520 RIVERGATE PARKWAY, GOODLETTSVILLE, TN 37072-2030
(615) 859-3937
(615) 859-3919
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036118478
IL
207W00000X
Ophthalmology Physician
Primary
MD51925
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118478
—
IL
01
—
P00404400
RR MEDICARE
IL
Enumeration date
07/24/2006
Last updated
04/04/2016
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