Provider Demographics
NPI:1710073788
Name:NAGARAJAN, RANJANI (MD)
Entity Type:Individual
Prefix:
First Name:RANJANI
Middle Name:
Last Name:NAGARAJAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:RANJANI
Other - Middle Name:
Other - Last Name:NAGARAJAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:865 BELLEVUE RD
Mailing Address - Street 2:KNOLLWOOD APT J-3
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221
Mailing Address - Country:US
Mailing Address - Phone:615-646-8326
Mailing Address - Fax:
Practice Address - Street 1:865 BELLEVUE RD
Practice Address - Street 2:KNOLLWOOD APT J-3
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221
Practice Address - Country:US
Practice Address - Phone:615-646-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000023919207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3072968Medicaid
F48043Medicare UPIN
TN3072968Medicaid