Healthcare Provider Details

I. General information

NPI: 1477884070
Provider Name (Legal Business Name): DANIEL A. HATEF M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 20TH AVE N SUITE 401
NASHVILLE TN
37203-2131
US

IV. Provider business mailing address

3024 BUSINESS PARK CIR
GOODLETTSVILLE TN
37072-3132
US

V. Phone/Fax

Practice location:
  • Phone: 615-986-6053
  • Fax: 615-239-1503
Mailing address:
  • Phone: 615-851-6033
  • Fax: 615-851-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number799160
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: