Individual
DR. BRAD E MALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VANDERBILT MEDICAL CTR, 1660 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-0128
(615) 343-8174
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
(615) 343-8174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD39523
TN
207RG0100X
Gastroenterology Physician
Primary
MD39523
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
TAX ID
—
Enumeration date
06/27/2006
Last updated
03/21/2022
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