Provider Demographics
NPI:1972538486
Name:ISAAC, VICTOR W (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:W
Last Name:ISAAC
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3320 PERIMETER HILL DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4123
Mailing Address - Country:US
Mailing Address - Phone:615-294-8453
Mailing Address - Fax:615-369-3062
Practice Address - Street 1:2004 HAYES ST STE 655
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2656
Practice Address - Country:US
Practice Address - Phone:615-866-9040
Practice Address - Fax:615-750-5756
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2024-02-05
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Provider Licenses
StateLicense IDTaxonomies
TN39898208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1531199Medicaid
I04240Medicare UPIN
TN1531199Medicaid