Provider Demographics
NPI:1992840813
Name:TALEGHANI, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:TALEGHANI
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 6971
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-0971
Mailing Address - Country:US
Mailing Address - Phone:530-241-0473
Mailing Address - Fax:402-434-6047
Practice Address - Street 1:5653 FRIST BLVD
Practice Address - Street 2:STE 731
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2062
Practice Address - Country:US
Practice Address - Phone:615-884-0001
Practice Address - Fax:615-884-0009
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37599207T00000X
TNMD36852207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64060767Medicaid
KYH81669Medicare UPIN
H81669Medicare UPIN
KY1941401Medicare ID - Type Unspecified
KY0120901Medicare PIN
TN3000886Medicare PIN