Individual
DR. ROBERT JEFFREY MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD35641
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3880059
—
TN
01
—
4086061
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
09/22/2005
Last updated
04/09/2021
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