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Individual

CYNDYA ADRIANA SHIBAO MIYASATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45547
TN
207R00000X
Internal Medicine Physician
MD0000045547
TN
208U00000X
Clinical Pharmacology Physician
MD0000045547
TN
208U00000X
Clinical Pharmacology Physician
Primary
MD45547
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1519706
TN
Enumeration date
06/11/2007
Last updated
12/15/2025
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