MEDICARE: CLAUDIO MOSSE MD, PHD

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	207ZH0000X	Hematology (Pathology) Physician	MD40126	TN
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD40126	TN
3	207ZC0006X	Clinical Pathology Physician	MD40126	TN

General Provider Information

NPI Number	:	1871677989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIO MOSSE MD, PHD

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	:	615-936-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 TVC
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0001
Country	:	US
Telephone Number	:	615-322-3000
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/02/2024

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