Provider Demographics
NPI:1023075868
Name:CHAUM, EDWARD (MD PHD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:CHAUM
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
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:615-936-2000
Mailing Address - Fax:615-936-0605
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-5100
Practice Address - Country:US
Practice Address - Phone:615-936-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36131567207WX0107X
KY45697207WX0107X
MA72251207WX0107X
MI4301102415207WX0107X
MS20602207WX0107X
AZ46660207WX0107X
CAG89425207WX0107X
CO52072207WX0107X
CT51992207WX0107X
FLME115227207WX0107X
GA69779207WX0107X
NY266450207WX0107X
NJ25MA09294800207WX0107X
PAMD448643207WX0107X
TN33959207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ003661Medicaid
J13658Medicare UPIN
F53842Medicare UPIN