Provider Demographics
NPI:1134915267
Name:SAINT THOMAS RHEUMATOLOGY CONSULTANTS PLLC
Entity type:Organization
Organization Name:SAINT THOMAS RHEUMATOLOGY CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/RHEUMATOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:POURPAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-556-6716
Mailing Address - Street 1:NORTHWEST REGISTERED AGENT INC
Mailing Address - Street 2:116 AGNES RD, STE. 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ST THOMAS RHEUMATOLOGY CONSULTANTS, PLLC
Practice Address - Street 2:4230 HARDING PIKE, SUITE 1005
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205
Practice Address - Country:US
Practice Address - Phone:615-964-5823
Practice Address - Fax:615-577-1696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty