Individual
MAZEN K KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-8005
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
40107
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
40107
SC
207RI0011X
Interventional Cardiology Physician
40107
SC
207RI0011X
Interventional Cardiology Physician
Primary
65874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401078
—
SC
Enumeration date
10/21/2008
Last updated
11/09/2022
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