Individual
OMAR NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
651 DUNLOP LN, EMERGENCY DEPT C/O OMAR NAVA, PA-C, CLARKSVILLE, TN 37040-5015
(931) 502-1370
Mailing address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00914179
RAILROAD MEDICARE
TN
Enumeration date
06/07/2006
Last updated
08/15/2016
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