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NPI Code Detail

MEDICARE: DR. HERNAN CORREA MD

MEDICARE: DR. HERNAN CORREA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician18091LA
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD41600TN
3207ZP0213XPediatric Pathology PhysicianMD41600TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770504797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HERNAN CORREA MD
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number : 615-322-3573
Fax Number : 615-322-5048
Provider Business Practice Location Address
First Line : 3601 VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-5100
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 03/29/2022

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