Duzan, Daniel Rudolph

Duzan, Daniel Rudolph is an individual health care provider with primary practice located at 990 Oak Ridge Tpke , Oak Ridge TN 37830-6976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Duzan, Daniel Rudolph can be contacted via phone (865) 488-1100.

Contact Information

Primary practice address
990 Oak Ridge Tpke Oak Ridge TN 37830-6976
Phone: (865) 488-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32247 Tennessee

Profile Details

NPI number 1518900091
LBN Legal business name Duzan, Daniel Rudolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 30th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518900091 NPPES
Tennessee Other 4082228 BLUE CROSS
Tennessee Other 4153137 BLUE CROSS
Tennessee Other P00308369 BLUE CROSS
Tennessee MEDICAID 3852304 BLUE CROSS
Tennessee MEDICAID 3852305 BLUE CROSS

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