Provider Demographics
NPI:1275617375
Name:FRANGOUL, HAYDAR (MD)
Entity Type:Individual
Prefix:DR
First Name:HAYDAR
Middle Name:
Last Name:FRANGOUL
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 1:330 23RD AVE N
Mailing Address - Street 2:SUITE 450
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1534
Mailing Address - Country:US
Mailing Address - Phone:615-342-7339
Mailing Address - Fax:615-342-7340
Practice Address - Street 1:330 23RD AVE N
Practice Address - Street 2:SUITE 450
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1534
Practice Address - Country:US
Practice Address - Phone:615-342-7339
Practice Address - Fax:615-342-7340
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD316682080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F76888Medicare UPIN