DR. RAZ DILIP PENMATCHA


Address: 1310 24th Ave S, Nashville, TN 37212
Phone: 6158756000

DR. RAZ DILIP PENMATCHA (NPI# 1346207339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346207339
Entity Type Individual
Full Name DR. RAZ DILIP PENMATCHA
Credential M.D.
Practice Address 1310 24th Ave S
Nashville
TN 37212
Mailing Address 1310 24th Ave S
Nashville
TN 37212-2637
Practice Telephone 6158756000
Mailing Fax Number 5633285694
Enumeration Date 2006-04-26
Last Update Date 2018-12-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 202259 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL ILLINOIS LICENSE 036-104091 01
IA IA GROUP MEDICARE 26568 01
IL IL GROUP MEDICARE 790730 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4731 45th Street Ct, Rock Island, IL 612017102 5633232020 5633285694

Office Location

Street Address 1310 24TH AVE S
City NASHVILLE
State TN
Zip Code 37212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851384473 Timothy James Hornyak Physician Assistant 1310 24th Ave S, Nashville, TN 37212-2637 2005-08-30
1326652827 Laura Mekjian Nurse Practitioner 1310 24th Ave S, Nashville, TN 37212-2637 2020-09-02
1215547302 Azur Eckley Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2020-08-04
1851919153 Bianca Burnette Creith Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2020-07-13
1124646526 Gabrielle Givens Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2020-07-12
1730706342 Lauren Danae Bell Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2020-06-30
1184241796 Amanda Searls Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2020-06-30
1689291296 Kyle Owens Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2020-06-30
1033736640 Jeewar Kokoy Pharmacist 1310 24th Ave S, Nashville, TN 37212-2637 2020-06-30
1013530468 Jennifer Leigh Egan Social Worker 1310 24th Ave S, Nashville, TN 37212-2637 2020-05-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063063204 Nichole Sherwood Pharmacist 1314 24th Avenue S, Nashville, TN 37212 2019-09-27
1710460795 Samantha Catherine Beretta Counselor 1710 17th Ave S, Nashville, TN 37212 2018-09-14
1417482449 Elise Stephenson Scott Student in an Organized Health Care Education/Training Program 1601 21st Avenue South, Room 3106, Nashville, TN 37212 2017-04-27
1851848410 Tracy Wehby Nurse Practitioner 2323 21st Ave S 3rd Floor, Nashville, TN 37212 2016-09-01
1821544578 Lisa Malone Acupuncturist 1615 Horton Ave, Nashville, TN 37212 2016-08-31
1568836518 Anna Ezell Social Worker 1414 17th Ave S, Nashville, TN 37212 2015-11-13
1427437789 Ryan Castoro Physical Medicine & Rehabilitation 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 2015-05-20
1730567900 Khushbu Shah Student in an Organized Health Care Education/Training Program 1601 23rd Ave S Rm 3106, Nashville, TN 37212 2015-05-08
1295160760 Jacqueline Klaver Clinical Neuropsychologist 2200 21st Ave S Ste 300, Nashville, TN 37212 2013-09-03
1992145577 Leslie Walls Binford Nurse Practitioner 2021 21st Ave S Ste 410, Nashville, TN 37212 2013-06-27
Find all providers in zip 37212

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780034439 Alina Lou Ophthalmology 2311 Pierce Avenue, Vanderbilt University Ophthalmology Residency Program, Nashville, TN 37232 2016-06-14
1134462450 Andrew Gordon Meador Ophthalmology 1800 Church St Ste 100, Nashville, TN 37203-2233 2013-04-04
1528324662 Akshay Sebastian Thomas Ophthalmology 345 23rd Ave N Ste 350, Nashville, TN 37203-1596 2012-04-03
1205128352 Trey Amerson Pegram Ophthalmology 3443 Dickerson Pike Ste 240, Nashville, TN 37207-2522 2011-05-09
1477875151 Robin Lee Rice Ophthalmology 133 Jefferson Sq, Nashville, TN 37215-3701 2010-02-22
1639336571 Michael J. Dieckhaus Ophthalmology 4306 Harding Pk, Suite 300, Nashville, TN 37205 2008-05-19
1689856700 Sahar Kohanim Ophthalmology 2010 Church St Ste 608, Nashville, TN 37203-2086 2007-11-30
1497975874 Susannah Quisling Longmuir Ophthalmology 593 Stewarts Ferry Pike, Nashville, TN 37214-3414 2007-04-26
1154445591 Wang Vision Institute, Pllc Ophthalmology 1801 W End Ave Ste 1150, Nashville, TN 37203-2528 2007-03-19
1104961085 Ming X Wang Ophthalmology 1801 West End Avenue #1150, Nashville, TN 37203 2007-02-20
Find all providers in NASHVILLE

Competitor

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City NASHVILLE
Zip Code 37212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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