Provider Demographics
NPI:1093150351
Name:MOLINI, CHRISTOPHER A (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:MOLINI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:A
Other - Last Name:MOLINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2010 CHURCH ST STE 508
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2079
Mailing Address - Country:US
Mailing Address - Phone:615-329-5072
Mailing Address - Fax:615-329-5834
Practice Address - Street 1:2010 CHURCH ST STE 508
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2079
Practice Address - Country:US
Practice Address - Phone:615-329-5072
Practice Address - Fax:615-329-5834
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN57406207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ037320Medicaid