Provider Demographics
NPI:1386672335
Name:LATHAM, ROBERT H (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:LATHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2005
Practice Address - Country:US
Practice Address - Phone:615-936-2000
Practice Address - Fax:615-222-6616
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN11591207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
3039980OtherMEDICARE
TN6007661OtherBCBST
KY6479272400OtherKENTUCKY MEDICAID
TN3039981Medicaid
TN4141664OtherBLUE CROSS
4224455OtherAETNA
TN4103657OtherBCBS
P00395551OtherRAILROAD MEDICARE
3039980OtherMEDICARE
KY6479272400OtherKENTUCKY MEDICAID