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NPI Code Detail

MEDICARE: DR. MATTHEW STEVEN KRANTZ M.D.

MEDICARE: DR. MATTHEW STEVEN KRANTZ 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
1207R00000XInternal Medicine Physician59687TN
2390200000XStudent in an Organized Health Care Education/Training Program
3207K00000XAllergy & Immunology Physician59687TN

General Provider Information

NPI Number : 1639523582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW STEVEN KRANTZ M.D.
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 : 37232-2005
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2016
Last Update Date : 06/27/2024

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