Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD40039 | TN |
N | 111NI0900X | Internist | MD40039 | TN |
N | 207RH0000X | Hematologist | MD40039 | TN |
Y | 207RX0202X | Medical Oncology | MD40039 | TN |
NPI | 1053495168 |
---|---|
Provider Name | Emily Chan |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 31/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I32341 | (02) |