Provider Demographics
NPI:1609894476
Name:FRANCIS, RUDOLPH NATHANIAL (MD)
Entity Type:Individual
Prefix:MR
First Name:RUDOLPH
Middle Name:NATHANIAL
Last Name:FRANCIS
Suffix:
Gender:M
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:PO BOX 330967
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7507
Mailing Address - Country:US
Mailing Address - Phone:615-557-4696
Mailing Address - Fax:
Practice Address - Street 1:6978 SONYA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-5227
Practice Address - Country:US
Practice Address - Phone:615-557-4696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18140207LP2900X
NC24155207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNC83867Medicare UPIN
TN3337886Medicare ID - Type Unspecified