MEDICARE: DR. PAUL ALLEN ROSENBLATT M.D.

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
1	2085R0203X	Therapeutic Radiology Physician	MD0000011643	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3079627	OTHER	TN	BC/BS OF TENNESSEE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003905969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ALLEN ROSENBLATT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 440261
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37244-0261
Country	:	US
Telephone Number	:	615-329-0570
Fax Number	:

Provider Business Practice Location Address
First Line	:	4220 HARDING ROAD
Second Line	:	RUDY CANCER CENTER
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2005
Country	:	US
Telephone Number	:	615-222-6755
Fax Number	:	615-222-3567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	06/07/2012

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