Provider Demographics
NPI:1326115577
Name:DAR, SADIA MAJID (MD)
Entity Type:Individual
Prefix:
First Name:SADIA
Middle Name:MAJID
Last Name:DAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1195 OLD HICKORY BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4239
Mailing Address - Country:US
Mailing Address - Phone:615-818-9888
Mailing Address - Fax:615-891-5021
Practice Address - Street 1:515 STONECREST PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6826
Practice Address - Country:US
Practice Address - Phone:615-223-7227
Practice Address - Fax:615-891-5002
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN45525207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200872970Medicaid
TN1519124Medicaid
IN200872970Medicaid
IN362600KMedicare PIN
TN103I085517Medicare PIN