Individual
DR. MITCHELL H. GOLDMAN
Active
Individual
DR. MITCHELL H. GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0015871
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040018
BLUECROSS BLUESHIELD
TN
05
—
3010389
—
TN
01
—
4283816
AETNA
TN
01
—
621301039
CHAMPUS TRICARE
TN
01
—
770001816
RAILROAD MEDICARE
TN
Enumeration date
07/03/2006
Last updated
10/25/2011
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