Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 631 | TN |
N | 213ES0131X | Foot Surgery | PO2652 | FL |
NPI | 1134161979 |
---|---|
Provider Name | Dr. David Michael Velarde |
First Address | Knoxville, TN 37912-4905 |
Second Address | Knoxville, TN 37912-4905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 03/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3726396 | (05) | TN |
4099765 | BLUECROSS BLUE SHIELD (01) | TN |
7644655 | AETNA (01) | TN |
8893748 | CIGNA (01) | TN |
P00182231 | RAILROAD MEDICARE (01) | TN |
TN0102 | UNITED HEALTHCARE ORG (01) | TN |
U68914 | (02) | TN |