Individual
MR. MICHAEL R COUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD36169
TN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
36169
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509261
MEDICAID - MTI
TN
05
—
1509261
—
TN
01
—
300130109
RAILROAD MEDICARE
TN
05
—
3871800
—
TN
05
—
3871809
—
TN
01
—
4035863
BCBS
TN
01
—
4037729
BCBS
TN
01
—
4200934
BCBS TN
TN
01
—
4291368
BCBS - MTI
TN
01
—
64050065
KY MEDICAID
KY
Enumeration date
06/05/2006
Last updated
04/01/2024
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