Provider Demographics
NPI:1730743923
Name:FORSTER, MORIAH KAY (MD)
Entity type:Individual
Prefix:
First Name:MORIAH
Middle Name:KAY
Last Name:FORSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MORIAH
Other - Middle Name:KAY
Other - Last Name:MUSCARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2220 PIERCE AVE
Mailing Address - Street 2:777 PRESTON RESEARCH BUILDING
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232
Mailing Address - Country:US
Mailing Address - Phone:615-936-0381
Mailing Address - Fax:
Practice Address - Street 1:2220 PIERCE AVE
Practice Address - Street 2:777 PRESTON RESEARCH BUILDING
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232
Practice Address - Country:US
Practice Address - Phone:615-749-5598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2024-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC250556390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program