Individual
EBEN L ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1900
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
24189
AL
207Y00000X
Otolaryngology Physician
64093
TN
207Y00000X
Otolaryngology Physician
C136361
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
64093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933845
—
AL
05
—
009966080
—
AL
01
—
051503330
BLUE CROSS
AL
05
—
051503330
—
AL
01
—
051503331
BLUE CROSS
AL
01
—
051518021
BLUE CROSS
AL
01
—
20049897
RAILROAD MEDICARE
AL
Enumeration date
07/12/2006
Last updated
04/11/2025
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