Individual
DANIEL ALBERTO VAENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1733
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, ATTN: CREDENTIALING, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
35503
IA
207RX0202X
Medical Oncology Physician
Primary
54546
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440081
—
IA
01
—
36461
WELLMARK
IA
05
—
Q023995
—
TN
Enumeration date
12/14/2005
Last updated
10/14/2016
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