Individual
MR. ELLIOT H HIMMELFARB
Active
Individual
MR. ELLIOT H HIMMELFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD8191
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509269
MEDICAID - MTI
TN
05
—
1509269
—
TN
05
—
3161070
—
TN
01
—
4068499
BCBS
TN
01
—
4068857
BCBS
TN
01
—
4200724
BCBS TN
TN
01
—
4291392
BCBS - MTI
TN
01
—
64071590
KY MEDICAID
KY
01
—
PENDING
RAILROAD MEDICARE
TN
Enumeration date
05/24/2006
Last updated
11/30/2011
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