Provider Demographics
NPI:1588899082
Name:BAHRI, NADER SATTARI (MD)
Entity type:Individual
Prefix:
First Name:NADER
Middle Name:SATTARI
Last Name:BAHRI
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 1:2300 PATTERSON ST
Mailing Address - Street 2:MCKISSACK PARK INPATIENT SERVICES
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1538
Mailing Address - Country:US
Mailing Address - Phone:615-342-1000
Mailing Address - Fax:615-342-1045
Practice Address - Street 1:2300 PATTERSON ST
Practice Address - Street 2:MCKISSACK PARK INPATIENT SERVICES
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1538
Practice Address - Country:US
Practice Address - Phone:615-342-1000
Practice Address - Fax:615-342-1045
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301093426174400000X
TN45242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3041954OtherMEDICARE
TN1514590Medicaid