Individual
DR. AMANDA MANCEAU-KHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
330 23RD AVE N STE 604, NASHVILLE, TN 37203-1534
(615) 986-6039
(615) 234-1520
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740547231
NPI
TN
01
—
3446
STATE LIC
TN
01
—
620874165
TAX ID
TN
Enumeration date
04/20/2012
Last updated
11/06/2025
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