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ELIAS V HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 21ST AVE S, SUITE 5100, NASHVILLE, TN 37232-0014
(615) 322-2318
(615) 875-6181
Mailing address
4230 HARDING PIKE, STE 330, NASHVILLE, TN 37205-2018
(615) 269-4545
(615) 565-6748

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39630
TN
207RC0000X
Cardiovascular Disease Physician
Primary
39630
TN
207RI0011X
Interventional Cardiology Physician
39630
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3333478
TN
01
4119774
BCBS
TN
01
4141588
BLUE CROSS
TN
01
6411924100
KENTUCKY MEDICAID
KY
01
7121802
AETNA
01
P00395861
RAILROAD MEDICARE
Enumeration date
06/14/2006
Last updated
05/12/2020
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