Provider Demographics
NPI:1457351496
Name:CHASAN, STUART E (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:E
Last Name:CHASAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9724 KINGSTON PIKE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3347
Mailing Address - Country:US
Mailing Address - Phone:865-690-0602
Mailing Address - Fax:865-690-0515
Practice Address - Street 1:800 OAK RIDGE TPKE
Practice Address - Street 2:SUITE A-101
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6957
Practice Address - Country:US
Practice Address - Phone:865-483-1093
Practice Address - Fax:865-482-8629
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2014-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000024116208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1669416442OtherGROUP NPI
TN3106045OtherBLUE CROSS
TN3072659Medicaid
TNCI2260OtherRAILROAD MEDICARE
TN020247799OtherEEOICP
TN3106044OtherBLUE CROSS
TN3106044OtherBLUE CROSS
TND01511Medicare UPIN
TN3714750Medicare PIN
TN1260440002Medicare NSC
TN1669416442OtherGROUP NPI