| Doctor Name: | MATTHEW CLAVENNA |
| NPI Number: | 1043453350 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | Medical Center East South Tower Ste 7209 1215 21st Ave, South, Vanderbilt Univ Dept Of Oto Nashville, TN - 372328605 |
| Business Phone Number: | 6153436166 |
| Business Fax Number: | 6159369869 |
| Mailing Address: | Vanderbilt Univ Dept Of Oto 1215 21st Ave S, Suite 7209 Medical Center East, South Tower NASHVILLE |
| State: | TN |
| Postal Code: | 372328605 |
| Phone Number: | 6153436166 |
| Fax Number: | 6159368969 |
| NPI Enumeration Date: | 04/16/2009 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |