Provider Demographics
NPI:1538109103
Name:NAU, PAUL C (MD)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:C
Last Name:NAU
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 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:3024 BUSINESS PARK CIR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3132
Practice Address - Country:US
Practice Address - Phone:615-851-6033
Practice Address - Fax:615-851-2018
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD192952085R0202X
TN192952085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1600681OtherUNITED HEALTHCARE OF TN
TN3042216Medicaid
TN3135886OtherBCBS
TN4076946OtherBCBS
TN3031176OtherBCBS
TN1509294Medicaid
TN4201002OtherBCBS TN
KY64918147OtherKY MEDICAID
TN1993750OtherCIGNA
TN300108661OtherRAILROAD MEDICARE
TN30422101Medicare PIN
TN300108661OtherRAILROAD MEDICARE
TN1993750OtherCIGNA
TN1509294Medicaid
TN3042217Medicare PIN