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Dr. Sushil Raj Patil, MD
Specialist in Hermitage, Tennessee
NPI 1821095738

Sushil Raj Patil is a Specialist based in Hermitage, TN. Sushil Raj Patil practices in Hermitage, TN and has the professional credentials of MD. The NPI Number for Sushil Raj Patil is 1821095738 and holds a License No. 30280 (Tennessee).

The current practice location address for Sushil Raj Patil is 5653 Frist Blvd, Hermitage, TN and can be reached out via phone at 615-885-1093 and via fax at 615-885-1110.

Location: 5653 Frist Blvd, Hermitage, TN, 37076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821095738
Provider Name
Sushil Raj Patil
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5653 Frist Blvd, Hermitage, TN, 37076
Phone Number
615-885-1093
Fax Number
615-885-1110
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
621612525 01 TN TAX INDENTIFICATION #
3707485 05 TN
3861936 05 TN
institution
Provider Business Practice Location Address Details
Address
5653 Frist Blvd
City
Hermitage
State
Tennessee
Zip
37076
Phone Number
615-885-1093
Fax Number
615-885-1110
person
Provider Business Mailing Address Details
Address
5653 Frist Blvd
City
Hermitage
State
Tennessee
Zip
37076
Phone Number
615-885-1093
Fax Number
615-885-1110
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
30280 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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