Provider Demographics
NPI:1932369279
Name:HADZIAHMETOVIC, MERSIHA (MD)
Entity Type:Individual
Prefix:DR
First Name:MERSIHA
Middle Name:
Last Name:HADZIAHMETOVIC
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 1:2220 PIERCE AVE
Mailing Address - Street 2:RADIATION ONCOLOGY DEPARTMENT B945
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-5671
Mailing Address - Country:US
Mailing Address - Phone:615-517-0866
Mailing Address - Fax:615-936-3363
Practice Address - Street 1:2220 PIERCE AVE
Practice Address - Street 2:RADIATION ONCOLOGY DEPARTMENT B945
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-5671
Practice Address - Country:US
Practice Address - Phone:615-517-0866
Practice Address - Fax:615-936-3363
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000488582085R0203X
OH35.1228522085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0097805Medicaid