Provider Demographics
NPI:1619972957
Name:CHESTNUT, DAVID H (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:CHESTNUT
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 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-7580
Mailing Address - Country:US
Mailing Address - Phone:615-322-8476
Mailing Address - Fax:615-936-6493
Practice Address - Street 1:VANDERBILT UNIVERSITY MEDICAL CTR
Practice Address - Street 2:1211 MEDICAL CENTER DRIVE, VUH 4202
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-7580
Practice Address - Country:US
Practice Address - Phone:615-322-8476
Practice Address - Fax:615-936-6493
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000050529207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34626100Medicaid
WI34626100Medicaid
A02457Medicare UPIN