Provider Demographics
NPI:1639357072
Name:NASHVILLE CARDIOLOGY CONSULTANTS, PC
Entity Type:Organization
Organization Name:NASHVILLE CARDIOLOGY CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:YEMBA
Authorized Official - Last Name:ELUHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-320-7151
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:37203-2108
Mailing Address - Country:US
Mailing Address - Phone:615-320-7151
Mailing Address - Fax:615-320-5976
Practice Address - Street 1:317 18TH AVE N
Practice Address - Street 2:STE 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2108
Practice Address - Country:US
Practice Address - Phone:615-320-7151
Practice Address - Fax:615-320-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17420261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3023891Medicaid
TN3023891Medicaid
TN3023891Medicare PIN