Provider Demographics
NPI:1225822042
Name:CHAPHEKAR, TANAYA VISHAL
Entity type:Individual
Prefix:
First Name:TANAYA
Middle Name:VISHAL
Last Name:CHAPHEKAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 FAWN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8615
Mailing Address - Country:US
Mailing Address - Phone:615-638-6743
Mailing Address - Fax:
Practice Address - Street 1:1569 FAWN CREEK RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8615
Practice Address - Country:US
Practice Address - Phone:615-638-6743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program