Individual
DR. JOEL S BENVENISTE
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) 322-3000
(615) 936-0605
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-062684
IL
2085R0202X
Diagnostic Radiology Physician
40301
KY
2085R0202X
Diagnostic Radiology Physician
54377
TN
2085R0202X
Diagnostic Radiology Physician
Primary
O1057118A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444860
—
IN
01
—
P00928207
RR MEDICARE
KY
Enumeration date
04/19/2006
Last updated
03/22/2022
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