Provider Demographics
NPI:1518193838
Name:DOSS, LAURA NASRALLAH (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:NASRALLAH
Last Name:DOSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 GREERLAND DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4021
Mailing Address - Country:US
Mailing Address - Phone:919-270-4621
Mailing Address - Fax:
Practice Address - Street 1:2220 PIERCE AVENUE
Practice Address - Street 2:383 PRB
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204
Practice Address - Country:US
Practice Address - Phone:615-936-1974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA240419207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine