Provider Demographics
NPI:1558424671
Name:ALLOS, SUHAIL HAZIM (M D)
Entity Type:Individual
Prefix:MR
First Name:SUHAIL
Middle Name:HAZIM
Last Name:ALLOS
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 42ND AVE N STE 400
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3658
Mailing Address - Country:US
Mailing Address - Phone:615-292-5722
Mailing Address - Fax:615-346-6225
Practice Address - Street 1:393 WALLACE RD STE 301
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4834
Practice Address - Country:US
Practice Address - Phone:615-425-0550
Practice Address - Fax:615-833-8287
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000030455174400000X
TN30455208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3161950OtherBLUE CROSS
TN1510574Medicaid
TN1510574Medicaid
TN38586541Medicare PIN