Individual
BIJAN AMIRGHASSEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101048734
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23750
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417166828
BCBSMS
WV
05
—
3810016310
—
WV
Enumeration date
05/22/2007
Last updated
01/09/2014
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