Most Relevant Information
Provider Data
| NPI Number: | 1003070129 |
| Provider Name: | HOMAYOUN REZA AHMADIAN D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0000X |
| Specialty: | Internal Medicine |
| License Number: | Q4002 |
Most Important Dates
| Enumeration Date: | 07/17/2008 |
| Last Updated: | 03/25/2019 |
Provider Practice Location
8060 WOLF RIVER BLVD
GERMANTOWN
TN
381381727
Practice Location Phone/Fax
| Phone: | 9012711000 |
| Fax: | 9012714187 |
Provider Mailing Location
63 VOLTERRA
SAN ANTONIO
TX
782581612
Provider Mailing Phone/Fax
| Phone: | 9016050522 |
| Fax: |
Suggested EMR
Internist EMR