Provider Demographics
NPI:1144432808
Name:VILA, RAUL JAVIER (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:JAVIER
Last Name:VILA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:975 E. THIRD STREET
Mailing Address - Street 2:ATTN: UNIVERSITY HOSPITALISTS
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2103
Mailing Address - Country:US
Mailing Address - Phone:423-266-1490
Mailing Address - Fax:423-648-4570
Practice Address - Street 1:975 E. THIRD STREET
Practice Address - Street 2:ATTN: UNIVERSITY HOSPITALISTS
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2103
Practice Address - Country:US
Practice Address - Phone:423-266-1490
Practice Address - Fax:423-648-4570
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN42143207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1507127Medicaid
TN1507127Medicaid