Provider Demographics
NPI:1023334000
Name:NAVO, ELLIOT BRIN (MD)
Entity type:Individual
Prefix:
First Name:ELLIOT
Middle Name:BRIN
Last Name:NAVO
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 1:102 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6402
Mailing Address - Country:US
Mailing Address - Phone:865-835-4500
Mailing Address - Fax:865-835-4503
Practice Address - Street 1:102 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6402
Practice Address - Country:US
Practice Address - Phone:865-835-4500
Practice Address - Fax:865-835-4503
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN564402085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology