Provider Demographics
NPI:1891375184
Name:MORGADO, ANIKA VANESA (MD)
Entity Type:Individual
Prefix:
First Name:ANIKA
Middle Name:VANESA
Last Name:MORGADO
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 1:1505 DEMONBREUN ST APT 436
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-3558
Mailing Address - Country:US
Mailing Address - Phone:214-603-3151
Mailing Address - Fax:
Practice Address - Street 1:719 THOMPSON LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3609
Practice Address - Country:US
Practice Address - Phone:615-936-1016
Practice Address - Fax:615-936-2031
Is Sole Proprietor?:No
Enumeration Date:2021-04-11
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program