Provider Demographics
NPI:1497137574
Name:DANIEL A HATEF MD, PLLC
Entity Type:Organization
Organization Name:DANIEL A HATEF MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HATEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-815-7122
Mailing Address - Street 1:6200 HIGHWAY 100 STE 101
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-4252
Mailing Address - Country:US
Mailing Address - Phone:615-986-6053
Mailing Address - Fax:281-833-3327
Practice Address - Street 1:6200 HIGHWAY 100 STE 101
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-4252
Practice Address - Country:US
Practice Address - Phone:615-986-6053
Practice Address - Fax:281-833-3327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ013749Medicaid