Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 40219 | TN |
N | 111NI0900X | Internist | 40219 | TN |
Y | 207RN0300X | Nephrologist | MD40219 | TN |
NPI | 1043226293 |
---|---|
Provider Name | Edward D Siew |
First Address | Nashville, TN 37232-0011 |
Second Address | Nashville, TN 37232-0011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3831814 | (05) | TN |
4141658 | BLUE CROSS (01) | TN |
7100007020 | (05) | KY |
7909850 | AETNA (01) | |
P00382472 | RAILROAD MEDICARE (01) |