Individual
DR. SAEED ETEZADI-AMOLI
Active
Individual
DR. SAEED ETEZADI-AMOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3022975
—
TN
01
—
4118970
BLUE CROSS
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
05/23/2006
Last updated
04/24/2024
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