Healthcare Provider Details

I. General information

NPI: 1134448624
Provider Name (Legal Business Name): EMMANUEL JOHN VOLANAKIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 HARDINGWOODS PL
NASHVILLE TN
37205-3611
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 901-483-9930
  • Fax:
Mailing address:
  • Phone: 901-483-9930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMD0000039101
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: