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Individual

DR. SYED AHMED NASEERUDDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
137 VILLAGE WAY, CLARKSVILLE, TN 37043-5458
(615) 229-5579
(931) 542-1308
Mailing address
137 VILLAGE WAY, CLARKSVILLE, TN 37043-5458
(615) 229-5579
(931) 919-4898

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45045
TN
207P00000X
Emergency Medicine Physician
45618
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
036.127417
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
45045
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
67046
GA
207R00000X
Internal Medicine Physician
45618
KY
208M00000X
Hospitalist Physician
45618
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514009
TN
01
P00725072
RR MEDICARE
TN
Enumeration date
08/25/2006
Last updated
01/18/2023
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