Provider Demographics
NPI:1154420594
Name:KRONENBERG, MARVIN W (MD)
Entity type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:W
Last Name:KRONENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VANDERBILT HEART AND VASCULAR INST 1215 21ST AVE S
Practice Address - Street 2:SUITE 5209
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-322-2318
Practice Address - Fax:615-936-7420
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD09343207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B02734Medicare UPIN