Provider Demographics
NPI:1780684415
Name:CLENDENIN, ROBERT ELI III (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ELI
Last Name:CLENDENIN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 306556
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6556
Mailing Address - Country:US
Mailing Address - Phone:615-329-2294
Mailing Address - Fax:615-695-1494
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:SUITE 1000
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-383-2693
Practice Address - Fax:615-292-9469
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2023-10-12
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Provider Licenses
StateLicense IDTaxonomies
TN19224208100000X
TNMD19224208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNE02204Medicare UPIN
TN3060369Medicare ID - Type Unspecified
TN0406260002Medicare NSC