Provider Demographics
NPI:1871578385
Name:ALVAREZ, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:ALVAREZ
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 1:979 E. THIRD STREET
Mailing Address - Street 2:STE C-620
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403
Mailing Address - Country:US
Mailing Address - Phone:423-756-8871
Mailing Address - Fax:423-778-5751
Practice Address - Street 1:979 E. THIRD STREET
Practice Address - Street 2:SUITE C0620
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403
Practice Address - Country:US
Practice Address - Phone:423-756-8871
Practice Address - Fax:423-778-5751
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31675207R00000X, 208M00000X
FLME142880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00891292AMedicaid
TN3842798Medicare ID - Type Unspecified
TN3842795Medicare ID - Type Unspecified