Individual
THOMAS A TESAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-6828
(615) 342-6836
Mailing address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-6828
(615) 342-6836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27156
TN
207RC0000X
Cardiovascular Disease Physician
27156
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
27156
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3097898
BCBS
TN
01
—
3826560
MEDICARE
—
05
—
3826562
—
TN
01
—
4141663
BLUE CROSS
TN
01
—
5730652
AETNA
—
01
—
6011197
BLUE CROSS-BLUE SHIELD
TN
01
—
6471248200
KENTUCKY MEDICAID
KY
01
—
P00394317
RAIDROAD MEDICARE
—
Enumeration date
06/04/2006
Last updated
02/10/2022
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