Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD0000039101 | TN |
NPI | 1134448624 |
---|---|
Provider Name | Emmanuel John Volanakis |
First Address | Nashville, TN 37205-3611 |
Second Address | Nashville, TN 37205-3611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 15/10/2020 |