Dr Nardin Tadros Ibrahim, MD | |
2200 Childrens Way Rm 11108b, Nashville, TN 37232 | |
(615) 936-2119 | |
(615) 936-0257 |
Full Name | Dr Nardin Tadros Ibrahim |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2200 Childrens Way Rm 11108b, Nashville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487892725 | NPI | - | NPPES |
C145933 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 246974 (New York) | Secondary |
208000000X | Pediatrics | C145933 (California) | Secondary |
208000000X | Pediatrics | 57018 (Tennessee) | Primary |
Entity Name | Vanderbilt University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
---|---|
Dr Nardin Tadros Ibrahim, MD 3841 Green Hills Village Dr, Nashville, TN 37215-2691 Ph: () - | Dr Nardin Tadros Ibrahim, MD 2200 Childrens Way Rm 11108b, Nashville, TN 37232 Ph: (615) 936-2119 |
George Anne Raines, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Jenny Kingsley, Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 Childrens Way, Suite 2404, Nashville, TN 37232 Phone: 615-936-1000 | |
Dr. Zenarosa C Salcedo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 339 White Bridge Pike, Nashville, TN 37209 Phone: 615-356-6877 Fax: 615-356-8270 | |
Dr. Deborah P Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3601 Tvc, Nashville, TN 37232 Phone: 615-322-3000 | |
Joseph Gigante, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 | |
Dr. Michael Warren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Childrens Way, Dot 8232, Nashville, TN 37232 Phone: 615-936-2425 Fax: 615-343-4655 | |
Ben Hunter Butler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 The Vanderbilt Clinic, Nashville, TN 37232 Phone: 615-322-3000 |