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NPI Code Detail

MEDICARE: DR. NATHAN ELLIOTT PODOLL MD

MEDICARE: DR. NATHAN ELLIOTT PODOLL 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
1207W00000XOphthalmology Physician53970TN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245529577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN ELLIOTT PODOLL 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 : 615-322-5048
Provider Business Practice Location Address
First Line : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-5100
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2011
Last Update Date : 12/24/2025

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