Provider Demographics
NPI:1689654493
Name:ARMAS, FERDINAND (MD)
Entity Type:Individual
Prefix:
First Name:FERDINAND
Middle Name:
Last Name:ARMAS
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 1:5811 LEE HWY
Mailing Address - Street 2:SUITE 410
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6100
Mailing Address - Country:US
Mailing Address - Phone:423-499-4422
Mailing Address - Fax:423-499-4420
Practice Address - Street 1:5811 LEE HWY
Practice Address - Street 2:SUITE 410
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-6100
Practice Address - Country:US
Practice Address - Phone:423-499-4422
Practice Address - Fax:423-499-4420
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY337602084P0800X
MO20070220432084P0800X
TN159622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204930804Medicaid
AR166565001Medicaid
TN3012387Medicaid
MO000033022Medicare PIN
MO204930804Medicaid
TN3012387Medicaid