Provider Demographics
NPI:1548656705
Name:SCHIFTAN, ELIZABETH GREEN (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:GREEN
Last Name:SCHIFTAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:VANDERBILT DEPARTMENT OF UROLOGIC SURGERY
Mailing Address - Street 2:A-1302 MEDICAL CENTER NORTH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-2765
Mailing Address - Country:US
Mailing Address - Phone:615-343-5604
Mailing Address - Fax:615-322-8990
Practice Address - Street 1:VANDERBILT DEPARTMENT OF UROLOGIC SURGERY
Practice Address - Street 2:A-1302 MEDICAL CENTER NORTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-2765
Practice Address - Country:US
Practice Address - Phone:615-343-5604
Practice Address - Fax:615-322-8990
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN64984208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208800000XAllopathic & Osteopathic PhysiciansUrology