Provider Demographics
NPI:1417920893
Name:ELUHU, MARCEL YEMBA (MD)
Entity Type:Individual
Prefix:
First Name:MARCEL
Middle Name:YEMBA
Last Name:ELUHU
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 1:317 18TH AVE N
Mailing Address - Street 2:STE 101
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203
Mailing Address - Country:US
Mailing Address - Phone:615-320-7151
Mailing Address - Fax:612-320-5976
Practice Address - Street 1:317 18TH AVE NORTH
Practice Address - Street 2:STE 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203
Practice Address - Country:US
Practice Address - Phone:615-320-7151
Practice Address - Fax:612-320-5976
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD17420207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3023891Medicare ID - Type Unspecified
TNB58965Medicare UPIN