Provider Demographics
NPI:1972764546
Name:MOHAMMED, DAKHAZ R (MD)
Entity type:Individual
Prefix:DR
First Name:DAKHAZ
Middle Name:R
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:391 WALLACE RD
Mailing Address - Street 2:TRISTAR SOUTHERN HILLS MEDICAL CENTER
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4851
Mailing Address - Country:US
Mailing Address - Phone:615-781-4000
Mailing Address - Fax:615-332-6265
Practice Address - Street 1:391 WALLACE RD
Practice Address - Street 2:391 WALLACE RD
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4851
Practice Address - Country:US
Practice Address - Phone:615-781-4000
Practice Address - Fax:615-332-6265
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN47527208M00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1524739Medicaid
TN103119160OtherMEDICARE