Provider Demographics
NPI:1922207158
Name:ROANE MEDICAL CENTER
Entity Type:Organization
Organization Name:ROANE MEDICAL CENTER
Other - Org Name:DR. HASSAN NADROUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-882-4440
Mailing Address - Street 1:415 DEVONIA ST
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-2025
Mailing Address - Country:US
Mailing Address - Phone:865-882-2689
Mailing Address - Fax:
Practice Address - Street 1:415 DEVONIA ST
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-2025
Practice Address - Country:US
Practice Address - Phone:865-882-2689
Practice Address - Fax:865-590-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000038206207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3258303Medicare PIN
TNH32977Medicare UPIN