MD Noam A Vanderwalde, NPI 1285869362
Radiation Oncology Physician in Germantown, TN, US

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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
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Primary Taxonomy

Taxonomy Code

2085R0001X

Taxonomy Name Radiation Oncology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

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.

Business Address

MD Noam A Vanderwalde
7945 Wolf River Blvd

Germantown, TN, US

Phone: 901-683-0055
Fax: 901-685-2969

Mailing Address

MD Noam A Vanderwalde
7714 Poplar Ave Ste 200
Attn: Credentialing
Germantown, TN, US
ZIP 381383941
Phone: 901-322-9080
Fax: 901-922-6722

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0001X

Allopathic & Osteopathic Physicians

Radiology

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

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1265 Union Ave

Memphis, TN

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