Provider Demographics
NPI:1497802961
Name:HUDA, SHAHANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHANA
Middle Name:
Last Name:HUDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5651 FRIST BLVD
Mailing Address - Street 2:SUITE # 701
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2054
Mailing Address - Country:US
Mailing Address - Phone:615-884-5669
Mailing Address - Fax:615-884-5670
Practice Address - Street 1:5651 FRIST BLVD
Practice Address - Street 2:SUITE # 701
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2054
Practice Address - Country:US
Practice Address - Phone:615-884-5669
Practice Address - Fax:615-884-5670
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2012-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN413112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN171089Medicare UPIN