Provider Demographics
NPI:1003802513
Name:SALCEDO, ZENAROSA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ZENAROSA
Middle Name:C
Last Name:SALCEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 WHITE BRIDGE PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3208
Mailing Address - Country:US
Mailing Address - Phone:615-356-6877
Mailing Address - Fax:615-356-8270
Practice Address - Street 1:339 WHITE BRIDGE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3208
Practice Address - Country:US
Practice Address - Phone:615-356-6877
Practice Address - Fax:615-356-8270
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD8924208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3144673OtherBLUE CROSS BLUE SHIELD TN
TNF32651Medicare UPIN
TN3144673OtherBLUE CROSS BLUE SHIELD TN
TN103I374599Medicare PIN
TN3848829Medicare PIN
TN3848821Medicare PIN
TN3848827Medicare PIN