Provider Demographics
NPI:1831164268
Name:ROSENBLUM, HOWARD H (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:H
Last Name:ROSENBLUM
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 1:4306 HARDING RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2205
Mailing Address - Country:US
Mailing Address - Phone:615-352-7479
Mailing Address - Fax:
Practice Address - Street 1:4306 HARDING RD
Practice Address - Street 2:SUITE 204
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2205
Practice Address - Country:US
Practice Address - Phone:615-352-7479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000015426207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN35533OtherBLUE CROSS
TNB58836Medicare UPIN
TN3007097Medicare ID - Type Unspecified