Provider Demographics
NPI:1124017959
Name:VANDERBILT UNIVERSITY MEDICAL SCHOOL
Entity Type:Organization
Organization Name:VANDERBILT UNIVERSITY MEDICAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE IN PEDIATRICS
Authorized Official - Prefix:MS
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:615-322-7601
Mailing Address - Street 1:6021 FOXLAND DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5733
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT UNIVERSITY DIVISION OF MEDICAL GENETICS
Practice Address - Street 2:DD 2205 MCN
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-322-7601
Practice Address - Fax:615-343-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170300000XOther Service ProvidersGenetic Counselor, MSGroup - Multi-Specialty