MD Noam A Vanderwalde, NPI 1285869362
Radiation Oncology Physician in Germantown, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1285869362 |
| NPI Entity Type | Individual |
| Provider Name | MD Noam A Vanderwalde |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 7945 Wolf River Blvd, Germantown, TN, US |
| Provider Mailing Address | 7714 Poplar Ave Ste 200, Attn: Credentialing, Germantown, TN, US, 381383941 |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Radiation Oncology Physician |
| Classification | |
| Group | |
| License No. | 51603 |
| License State | TN |
| Description | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 23666 | MS | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 08408361 | MS | MEDICAID | 05 |
| Q009036 | TN | MEDICAID | 05 |
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MRS. PA-C Brittany C Smith Individual |
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