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1154980407

NPI Code Detail

MEDICARE: ALYEESHA WILHELM MD

MEDICARE: ALYEESHA WILHELM MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD480885	PA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	BP10067122	TX
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	70811	TN

General Provider Information

NPI Number	:	1154980407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYEESHA WILHELM MD

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 THE VANDERBILT CLINIC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2536
Country	:	US
Telephone Number	:	615-322-5000
Fax Number	:

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

Provider Enumeration Date	:	06/11/2019
Last Update Date	:	05/22/2024

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Directions to “ ALYEESHA WILHELM MD” Practice Location

Language	Start Address	Practice Location

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