Individual
DR. SUSHIL RAJ PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5653 FRIST BLVD STE 530, HERMITAGE, TN 37076-2067
(615) 885-1093
(615) 885-1110
Mailing address
ONE GI CREDENTIALING DEPARTMENT, PO BOX 381468, GERMANTOWN, TN 38183
(615) 885-1093
(615) 885-1110
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
30280
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013629
—
TN
Enumeration date
07/07/2005
Last updated
02/25/2026
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