Provider Demographics
NPI:1225013535
Name:ATTOUSSI, SAID (MD)
Entity Type:Individual
Prefix:
First Name:SAID
Middle Name:
Last Name:ATTOUSSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 HARDING PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4512
Mailing Address - Country:US
Mailing Address - Phone:615-315-8717
Mailing Address - Fax:
Practice Address - Street 1:476 HARDING PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4512
Practice Address - Country:US
Practice Address - Phone:615-315-8717
Practice Address - Fax:615-315-8714
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30658207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG96849Medicare UPIN
TN3839941Medicare PIN