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Individual

DR. DEREK A DAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3996
(615) 322-3000
(615) 936-0605
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35810
KY
207K00000X
Allergy & Immunology Physician
Primary
37132
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64087174
KY
01
K093420
MEDICARE PTAN
KY
05
Q078766
TN
Enumeration date
08/29/2005
Last updated
07/10/2025
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