Individual
YURI F VAN DER HEIJDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1161 21ST AVE S, A2200 MEDICAL CENTER NORTH, NASHVILLE, TN 37232-2582
(615) 322-2035
(615) 343-6160
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-2035
(615) 343-6160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43209
TN
207RI0200X
Infectious Disease Physician
Primary
43209
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009170178
AETNA
TN
05
—
1506842
—
TN
01
—
4193026
BCBST
TN
01
—
7100051280
KENTUCKY MEDICAID
—
01
—
P00710546
RAILROAD MEDICARE
—
Enumeration date
01/04/2007
Last updated
03/14/2022
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