Provider Demographics
NPI:1073194304
Name:CHRISTIAN, NISHA (DO)
Entity Type:Individual
Prefix:
First Name:NISHA
Middle Name:
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 DR D. B. TODD JR. BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3720
Mailing Address - Country:US
Mailing Address - Phone:615-327-6350
Mailing Address - Fax:615-327-6260
Practice Address - Street 1:1005 DR D. B. TODD JR. BLVD.
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3720
Practice Address - Country:US
Practice Address - Phone:615-327-6350
Practice Address - Fax:615-327-6260
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program