Healthcare Provider Details

I. General information

NPI: 1083659163
Provider Name (Legal Business Name): MICHEL E KUZUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 DICKERSON PIKE STE 760
NASHVILLE TN
37207-2519
US

IV. Provider business mailing address

PO BOX 440100
NASHVILLE TN
37244-0100
US

V. Phone/Fax

Practice location:
  • Phone: 615-860-1556
  • Fax: 615-860-1558
Mailing address:
  • Phone: 615-329-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number10614
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: