Provider Demographics
NPI:1902953797
Name:STREET, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:STREET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1601 23RD AVE S
Mailing Address - Street 2:SUITE 3050
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3182
Mailing Address - Country:US
Mailing Address - Phone:615-327-7130
Mailing Address - Fax:615-322-2076
Practice Address - Street 1:1601 23RD AVE S
Practice Address - Street 2:SUITE 3050
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3182
Practice Address - Country:US
Practice Address - Phone:615-327-7130
Practice Address - Fax:615-322-2076
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN347432084F0202X, 207Y00000X, 2084P0800X
PAMD050768L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology