Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 33959 | TN |
N | 207WX0107X | Retina Specialist | 20602 | MS |
N | 207WX0107X | Retina Specialist | 25MA09294800 | NJ |
N | 207WX0107X | Retina Specialist | 266450 | NY |
N | 207WX0107X | Retina Specialist | 36131567 | IL |
N | 207WX0107X | Retina Specialist | 4301102415 | MI |
N | 207WX0107X | Retina Specialist | 45697 | KY |
N | 207WX0107X | Retina Specialist | 46660 | AZ |
N | 207WX0107X | Retina Specialist | 51992 | CT |
N | 207WX0107X | Retina Specialist | 52072 | CO |
N | 207WX0107X | Retina Specialist | 69779 | GA |
N | 207WX0107X | Retina Specialist | 72251 | MA |
N | 207WX0107X | Retina Specialist | G89425 | CA |
N | 207WX0107X | Retina Specialist | MD448643 | PA |
N | 207WX0107X | Retina Specialist | ME115227 | FL |
NPI | 1023075868 |
---|---|
Provider Name | Dr. Edward Chaum |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 04/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q003661 | (05) | TN |