Provider Demographics
NPI:1700768348
Name:IBARRA, PEDRO (MD, MSC)
Entity type:Individual
Prefix:PROF
First Name:PEDRO
Middle Name:
Last Name:IBARRA
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:PROF
Other - First Name:PEDRO
Other - Middle Name:
Other - Last Name:IBARRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MSC
Mailing Address - Street 1:VUMC ANESTHESIOLOGY 1301 MEDICAL CENTER DRIVE 4648 TV
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-327-7137
Mailing Address - Fax:
Practice Address - Street 1:VUMC ANESTHESIOLOGY 1301 MEDICAL CENTER DRIVE 4648 TV
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-327-7137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN74555207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty