Individual
AMARESH MISRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1916 PATTERSON ST, NASHVILLE, TN 37203-2120
(615) 329-0403
Mailing address
1916 PATTERSON STREET, NASHVILLE, TN 37203
(615) 329-0406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084346
—
TN
Enumeration date
12/15/2006
Last updated
11/01/2012
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