MEDICARE: VANDERBILT HEART AND VASCULAR INSTITUTE

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	275N00000X	Medicare Defined Swing Bed Hospital Unit	0000062727	TN

General Provider Information

NPI Number	:	1861638645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VANDERBILT HEART AND VASCULAR INSTITUTE

Provider Business Mailing Address
First Line	:	1215 21ST AVE S
Second Line	:	SOUTH TOWER; SUITE 5025
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:	615-343-9195
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 21ST AVE S
Second Line	:	SOUTH TOWER- SUITE 5025
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:	615-343-9195
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT PROFESSOR OF CARDIOLOGY
Name	:	RASHID AHMAD
Credential	:	M.D.
Telephone Number	:	615-343-9195

Provider Enumeration Date	:	12/27/2008
Last Update Date	:	12/27/2008

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Directions to “VANDERBILT HEART AND VASCULAR INSTITUTE ” Practice Location

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