Provider Demographics
NPI:1285748715
Name:HARNISCH, HELMUT K (MD)
Entity type:Individual
Prefix:
First Name:HELMUT
Middle Name:K
Last Name:HARNISCH
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 1:5548 FRANKLIN PIKE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-2128
Mailing Address - Country:US
Mailing Address - Phone:615-376-7986
Mailing Address - Fax:615-309-8820
Practice Address - Street 1:5548 FRANKLIN PIKE
Practice Address - Street 2:SUITE 203
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-2128
Practice Address - Country:US
Practice Address - Phone:615-376-7986
Practice Address - Fax:615-309-8820
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD15067207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3002505Medicaid
TN3002505Medicare ID - Type UnspecifiedMEDICARE ID
TN3002505Medicaid