Provider Demographics
NPI:1932129400
Name:MOLETTE, SEKOU F (MD)
Entity Type:Individual
Prefix:DR
First Name:SEKOU
Middle Name:F
Last Name:MOLETTE
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 330760
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7505
Mailing Address - Country:US
Mailing Address - Phone:615-340-3436
Mailing Address - Fax:877-472-3945
Practice Address - Street 1:2201 MURPHY AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1835
Practice Address - Country:US
Practice Address - Phone:615-340-3436
Practice Address - Fax:877-472-3945
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD318652081P2900X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3860313Medicaid
TNH00315Medicare UPIN
TN3721952Medicare ID - Type Unspecified