Provider Demographics
NPI:1225328792
Name:PAUL, ANUPAM (PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ANUPAM
Middle Name:
Last Name:PAUL
Suffix:
Gender:M
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 MEDICAL CENTER DR # 1815
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0028
Mailing Address - Country:US
Mailing Address - Phone:615-322-6480
Mailing Address - Fax:615-329-9358
Practice Address - Street 1:1211 MEDICAL CENTER DR # 1815
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-4213
Practice Address - Country:US
Practice Address - Phone:615-322-6480
Practice Address - Fax:615-329-9358
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist