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Individual

DR. STUART E CHASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 OAK RIDGE TPKE, SUITE A-101, OAK RIDGE, TN 37830-6957
(865) 483-1093
(865) 482-8629
Mailing address
9724 KINGSTON PIKE, SUITE 800, KNOXVILLE, TN 37922-3347
(865) 690-0602
(865) 690-0515

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000024116
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020247799
EEOICP
TN
01
1669416442
GROUP NPI
TN
05
3072659
TN
01
3106044
BLUE CROSS
TN
01
3106045
BLUE CROSS
TN
01
CI2260
RAILROAD MEDICARE
TN
Enumeration date
07/29/2005
Last updated
06/20/2014
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