MEDICARE: NASHVILLE HEART AND VASCULAR

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	207RI0011X	Interventional Cardiology Physician	45269	TN
2	207RC0000X	Cardiovascular Disease Physician	45269	TN

General Provider Information

NPI Number	:	1114455326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NASHVILLE HEART AND VASCULAR

Provider Business Mailing Address
First Line	:	6525 BROWNLEE DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-3051
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	397 WALLACE RD STE C216
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8019
Country	:	US
Telephone Number	:	615-832-8731
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	EITAN FRIEDMAN
Credential	:	MD
Telephone Number	:	617-838-8826

Provider Enumeration Date	:	06/01/2017
Last Update Date	:	06/01/2017

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Directions to “NASHVILLE HEART AND VASCULAR ” Practice Location

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