Provider Demographics
NPI:1316946122
Name:MONAJJEM, NAVID (MD)
Entity type:Individual
Prefix:
First Name:NAVID
Middle Name:
Last Name:MONAJJEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-2000
Mailing Address - Fax:
Practice Address - Street 1:120 FRANK MARTIN RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-7194
Practice Address - Country:US
Practice Address - Phone:931-684-4074
Practice Address - Fax:931-684-6992
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101224276208600000X
TN40991208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10071927OtherAMERIGROUP
TN12050525OtherMULTIPLAN
TN3338490Medicaid
TN8008045OtherCIGNA
TN7380077OtherAETNA
TN4124833OtherBCBS
TN10071927OtherAMERIGROUP
TN7380077OtherAETNA