Provider Demographics
NPI:1225384209
Name:HOSSAIN, JAMIL AUVY (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMIL
Middle Name:AUVY
Last Name:HOSSAIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1909 MALLORY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8230
Mailing Address - Country:US
Mailing Address - Phone:615-814-0885
Mailing Address - Fax:615-814-0056
Practice Address - Street 1:397 WALLACE RD
Practice Address - Street 2:STE. 411
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4854
Practice Address - Country:US
Practice Address - Phone:615-332-0330
Practice Address - Fax:615-332-0340
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN770213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ014250Medicaid
TNQ014250Medicaid