Provider Demographics
NPI:1699716324
Name:BAUGH, DAINIA S (MD)
Entity type:Individual
Prefix:DR
First Name:DAINIA
Middle Name:S
Last Name:BAUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAINIA
Other - Middle Name:S
Other - Last Name:BAUGH - PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:211 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1801
Mailing Address - Country:US
Mailing Address - Phone:615-340-3430
Mailing Address - Fax:615-340-0274
Practice Address - Street 1:211 22ND AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1801
Practice Address - Country:US
Practice Address - Phone:615-340-3430
Practice Address - Fax:615-340-0274
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31415207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4045459Medicaid
3846958Medicare ID - Type Unspecified
TN4045459Medicaid