Provider Demographics
NPI:1265694913
Name:ARYAL, TIA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:TIA
Middle Name:MARIE
Last Name:ARYAL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:TIA
Other - Middle Name:MARIE
Other - Last Name:BRABHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 CANTON STONE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-2691
Mailing Address - Country:US
Mailing Address - Phone:615-609-9914
Mailing Address - Fax:615-528-5447
Practice Address - Street 1:312 CANTON STONE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2691
Practice Address - Country:US
Practice Address - Phone:615-609-9914
Practice Address - Fax:615-528-5447
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361746322084N0400X, 2084V0102X
TN501952084V0102X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology