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Individual

MATHEW NINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4230 HARDING PIKE, SUITE 523, NASHVILLE, TN 37205-2013
(615) 467-1060
(615) 467-1061
Mailing address
6006 49TH ST N STE 310, ST PETERSBURG, FL 33709-2149
(727) 527-9779
(727) 522-0415

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME140763
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD34573
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME140763
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522745
TN
01
6063357
BLUE CROSS BLUE SHIELD
TN
Enumeration date
10/25/2006
Last updated
01/04/2022
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