Individual
JESUS G BERDEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 25TH AVE N, STE 412, NASHVILLE, TN 37203-1632
(615) 986-7000
(615) 986-7601
Mailing address
PO BOX 440100, NASHVILLE, TN 37244-0100
(615) 329-0570
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
43220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A601430
—
CA
05
—
3001257
—
TN
01
—
4172891
BCBS OF TN
TN
Enumeration date
06/22/2006
Last updated
01/25/2012
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