Provider Demographics
NPI:1083659163
Name:KUZUR, MICHEL E (MD)
Entity Type:Individual
Prefix:
First Name:MICHEL
Middle Name:E
Last Name:KUZUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 440100
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0100
Mailing Address - Country:US
Mailing Address - Phone:615-329-0570
Mailing Address - Fax:
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:STE 760
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-860-1556
Practice Address - Fax:615-860-1558
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10614207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
120687OtherBCBS OF TN
4070934OtherAETNA
KY64926405Medicaid
TN3172731Medicaid
900000788OtherRAILROAD MEDICARE
3640064OtherUNITED HEALTHCARE
TN3172731Medicaid
4070934OtherAETNA