Provider Demographics
NPI:1427159060
Name:SANTI, MICHAEL T (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:SANTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2400 PATTERSON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1562
Mailing Address - Country:US
Mailing Address - Phone:615-342-5740
Mailing Address - Fax:615-342-5742
Practice Address - Street 1:345 23RD AVE N
Practice Address - Street 2:SUITE 300
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1513
Practice Address - Country:US
Practice Address - Phone:615-342-5740
Practice Address - Fax:615-342-5742
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD12167208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2568643013OtherCIGNA
TN1440008OtherUNITED HEALTHCARE
TN280001070OtherMEDICARE RAILROAD
TN55074OtherBLUE CROSS
TN681117OtherAETNA
TN280001070OtherMEDICARE RAILROAD
TNA98332Medicare UPIN