Koenig, Mark

Koenig, Mark is an individual health care provider with primary practice located at 4230 Harding Rd Suite 330, Nashville TN 37205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Koenig, Mark can be contacted via phone (615) 259-4545.

Contact Information

Primary practice address
4230 Harding Rd Suite 330 Nashville TN 37205
Phone: (615) 259-4545
Fax: (615) 565-6789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 32261 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 32261 Tennessee

Profile Details

NPI number 1770521502
LBN Legal business name Koenig, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 2nd, 2021 - about 4 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 1770521502 NPPES
Tennessee Other P01376525 RR MEDICARE
Tennessee Other 6012068 RR MEDICARE
Tennessee MEDICAID 3330967 RR MEDICARE

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