Mark Stephen Averbuch, M.D.

Individual provider Active NPI Internal Medicine Physician · Nashville, TN

NPI 1164546693 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164546693
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MD0000008361 (TN)
Practice address
5606 Brookwood PL
Nashville, TN 37205-1472
Phone
(615) 352-0590
Fax
(615) 354-0903
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000008361TNMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000008361 TN Yes

Addresses

Primary practice location

5606 Brookwood PL
Nashville, TN 37205-1472

Mailing address

5606 Brookwood PL
Nashville, TN 37205-1472
Phone (615) 352-0590

Other providers in Nashville, TN

All providers in Nashville, TN · Internal Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.