Individual
GRACE KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-6013
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
65411
TN
207R00000X
Internal Medicine Physician
036148471
IL
207R00000X
Internal Medicine Physician
65411
TN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
036148471
IL
208M00000X
Hospitalist Physician
036148471
IL
Other
Enumeration date
05/16/2016
Last updated
01/10/2024
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