Individual
JOAO A M DEANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
22588
AL
207RP1001X
Pulmonary Disease Physician
22588
AL
207RP1001X
Pulmonary Disease Physician
Primary
58476
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096435
BLUE CROSS
AL
05
—
000096435
—
AL
01
—
08054765
MISSISSIPPI MEDICAID
MS
01
—
290012936
RAILROAD MEDICARE
AL
01
—
H16485
VIVA
AL
Enumeration date
06/14/2006
Last updated
03/30/2022
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